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General NPI Number Information
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NPI Number | 1609154418
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Entity Type | Individual
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Provider Name | TARPAN RAJNIKANT PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 10825 W MCDOWELL RD STE 310
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City | AVONDALE
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State | AZ
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Zip | 85392-5228
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Country | US
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Telephone | 602-698-7325
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Fax | 480-500-8430
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Provider Business Mailing Address
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Address Line | 12361 W BOLA DR STE 100
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City | SURPRISE
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State | AZ
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Zip | 85378-9021
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Country | US
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Telephone | 602-698-7325
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Fax | 480-500-8430
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036133895
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 63204
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 036133895
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 63204
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License Number State | AZ
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