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General NPI Number Information
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NPI Number | 1669359873
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Entity Type | Organization
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Legal Business Name | LL MEDICAL CLINIC PA
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 7 PENN PLZ
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City | NEW YORK
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State | NY
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Zip | 10001-3967
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Country | US
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Telephone | 646-887-3138
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Fax |
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Provider Business Mailing Address
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Address Line | 7 PENN PLZ STE 1204
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City | NEW YORK
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State | NY
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Zip | 10001-3923
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Country | US
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Telephone | 646-887-3138
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Fax |
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Authorized Official
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Title or Position | GC
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Name | ADI PATEL
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Credential |
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Telephone | 646-887-3138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SC2300X
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Taxonomy Name | Chronic Care Clinical Nurse Specialist
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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