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General NPI Number Information
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NPI Number | 1598318412
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Entity Type | Individual
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Provider Name | ISHA KIRTI PATEL OD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2019
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 7075 N SHARON AVE
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City | FRESNO
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State | CA
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Zip | 93720-3329
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Country | US
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Telephone | 559-486-2000
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Fax | 559-256-8595
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Provider Business Mailing Address
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Address Line | 7075 N SHARON AVE
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City | FRESNO
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State | CA
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Zip | 93720-3329
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Country | US
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Telephone | 559-486-2000
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Fax | 559-256-8595
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG003585
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 34764
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License Number State | CA
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