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General NPI Number Information
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NPI Number | 1629175989
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Entity Type | Individual
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Provider Name | PARAG GANAPATI PATIL MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 802 N RIVERSIDE RD STE 150
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City | SAINT JOSEPH
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State | MO
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Zip | 64507-2508
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Country | US
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Telephone | 816-271-4025
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Fax | 816-271-4026
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Provider Business Mailing Address
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Address Line | 802 N RIVERSIDE RD STE 150
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City | SAINT JOSEPH
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State | MO
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Zip | 64507-2508
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Country | US
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Telephone | 816-271-4025
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Fax | 816-271-4026
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 2025042674
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 29737
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 4301086873
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License Number State | MI
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