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General NPI Number Information
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NPI Number | 1679800700
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Entity Type | Organization
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Legal Business Name | TUSHAR G. PATEL, M.D. P.C.
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 3150 CLINCH ST SUITE 106
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City | RICHLANDS
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State | VA
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Zip | 24641-2159
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Country | US
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Telephone | 276-963-2231
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Fax | 276-964-9701
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Provider Business Mailing Address
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Address Line | 253 GARY DR
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City | RICHLANDS
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State | VA
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Zip | 24641-2682
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Country | US
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Telephone | 276-963-2231
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Fax | 276-964-9701
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TUSHAR G. PATEL
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Credential | M.D.
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Telephone | 276-963-2231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101037830
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License Number State | VA
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