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General NPI Number Information
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NPI Number | 1639819196
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Entity Type | Individual
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Provider Name | CHANDANI PATEL MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 501 RTE 9 SOUTH SUITE 240
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City | WARETOWN
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State | NJ
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Zip | 08758-1743
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Country | US
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Telephone | 609-693-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD BLDG 2, STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5688
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA12702500
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License Number State | NJ
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