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General NPI Number Information
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NPI Number | 1689104341
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Entity Type | Individual
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Provider Name | MITUL V PATEL DO
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Gender | Male
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 13908 LAKESHORE BLVD STE 250
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City | HUDSON
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State | FL
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Zip | 34667-1492
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Country | US
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Telephone | 727-471-5882
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Fax | 727-471-6112
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Provider Business Mailing Address
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Address Line | 5400 PINEHURST DR
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City | SPRING HILL
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State | FL
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Zip | 34606-3833
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Country | US
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Telephone | 352-277-5348
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Fax | 352-606-2857
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 415358
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | OS20874
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License Number State | FL
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