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General NPI Number Information
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NPI Number | 1639156680
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Entity Type | Organization
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Legal Business Name | JIVANLAL M. PATEL, M.D., INC
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 2834 MAPLEVALE RD
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City | BROOKVILLE
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State | PA
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Zip | 15825-2318
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Country | US
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Telephone | 814-849-4442
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Fax | 814-849-6388
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Provider Business Mailing Address
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Address Line | 2834 MAPLEVALE RD
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City | BROOKVILLE
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State | PA
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Zip | 15825-2318
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Country | US
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Telephone | 814-849-4442
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Fax | 814-849-6388
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JIVANLAL M. PATEL
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Credential | M. D.
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Telephone | 814-849-4442
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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 |
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License Number State |
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