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General NPI Number Information
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NPI Number | 1629030788
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Entity Type | Individual
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Provider Name | LATIKA DUSHYANT PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 1424 E FRANKLIN ST
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City | MONROE
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State | NC
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Zip | 28112-5160
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Country | US
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Telephone | 704-289-2944
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Fax | 704-283-2918
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Provider Business Mailing Address
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Address Line | 1424 E FRANKLIN ST
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City | MONROE
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State | NC
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Zip | 28112-5160
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Country | US
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Telephone | 704-289-2944
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Fax | 704-283-2918
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 33730
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License Number State | NC
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