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General NPI Number Information
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NPI Number | 1689752644
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Entity Type | Individual
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Provider Name | MANALI R PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 3636 HIGH ST
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City | PORTSMOUTH
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State | VA
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Zip | 23707
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Country | US
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Telephone | 757-650-2725
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Fax | 770-573-9513
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Provider Business Mailing Address
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Address Line | 3636 HIGH ST
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3236
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Country | US
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Telephone | 757-650-2725
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Fax | 770-573-9513
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | TP859
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 0101248147
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License Number State | VA
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