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General NPI Number Information
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NPI Number | 1598627218
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Entity Type | Organization
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Legal Business Name | PATEL PHYSIATRY
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1201 OAKBRIDGE PKWY
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City | LAKELAND
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State | FL
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Zip | 33803-5945
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Country | US
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Telephone | 863-279-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 3616 HARDEN BLVD STE 210
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City | LAKELAND
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State | FL
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Zip | 33803-5938
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSHANI PATEL
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Credential |
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Telephone | 469-964-0311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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