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General NPI Number Information
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NPI Number | 1609563972
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Entity Type | Individual
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Provider Name | DURVA PATEL
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Gender | Female
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 2280 GELLERT BLVD
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-5411
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Country | US
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Telephone | 650-392-3141
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Fax |
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Provider Business Mailing Address
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Address Line | 886 MENTE LINDA LOOP
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City | MILPITAS
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State | CA
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Zip | 95035-8636
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Country | US
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Telephone | 724-467-0557
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 36815
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License Number State | CA
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