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General NPI Number Information
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NPI Number | 1649809955
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Entity Type | Individual
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Provider Name | JAYSHAL PRAMOD PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 729 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33060-6345
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Country | US
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Telephone | 855-920-2377
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Fax |
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Provider Business Mailing Address
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Address Line | 16385 BISCAYNE BLVD UNIT 519
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City | AVENTURA
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State | FL
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Zip | 33160-5457
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Country | US
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Telephone | 901-493-9904
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Fax | 929-542-1364
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | ME163572
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME163572
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | ME163572
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License Number State | FL
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