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General NPI Number Information
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NPI Number | 1679011142
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Entity Type | Individual
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Provider Name | KHYATI G PATEL
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Gender | Female
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Dates
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Enumeration Date | 02/06/2017
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 575 8TH AVE
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City | NEW YORK
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State | NY
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Zip | 10018-3011
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Country | US
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Telephone | 856-264-7090
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Fax |
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Provider Business Mailing Address
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Address Line | 900 HICKSVILLE RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-1249
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Country | US
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Telephone | 856-264-7090
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 008247-1
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License Number State | NY
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