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General NPI Number Information
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NPI Number | 1659153484
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Entity Type | Individual
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Provider Name | RAJVI PATEL
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Gender | Female
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Dates
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Enumeration Date | 10/17/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 7627 37TH AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6633
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Country | US
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Telephone | 718-887-9888
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Fax | 718-776-7104
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Provider Business Mailing Address
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Address Line | 1421 CARDINAL DR
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City | BENSALEM
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State | PA
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Zip | 19020-4404
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Country | US
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Telephone | 610-605-1052
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 04995601
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License Number State | NY
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