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NPI 1629565585

NPI 1629565585 : NEHA PATEL MD : NEW PORT RICHEY, FL

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General NPI Number Information
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    NPI Number           |    1629565585
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    Entity Type          |    Individual 
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    Provider Name        |    NEHA PATEL MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/17/2018
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    Last Update Date     |    09/09/2024
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Provider Practice Location Address
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    Address Line         |    6633 FOREST AVE STE 300 
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    City                 |    NEW PORT RICHEY
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    State                |    FL
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    Zip                  |    34653-2612
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    Country              |    US
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    Telephone            |    727-724-8611
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    Fax                  |    727-724-0425
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Provider Business Mailing Address
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    Address Line         |    2995 DREW ST FL 2 
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    City                 |    CLEARWATER
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    State                |    FL
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    Zip                  |    33759-3012
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    Country              |    US
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    Telephone            |    727-315-7496
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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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       |    ME146498
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    License Number State |    FL
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