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General NPI Number Information
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NPI Number | 1699329342
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Entity Type | Individual
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Provider Name | EKTA PATEL
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Gender | Female
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Dates
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Enumeration Date | 07/31/2019
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 611 S CARLIN SPRINGS RD STE 508
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City | ARLINGTON
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State | VA
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Zip | 22204-1088
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Country | US
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Telephone | 703-566-0803
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Fax | 571-867-9905
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Provider Business Mailing Address
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Address Line | 6217 OLD KEENE MILL CT
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City | SPRINGFIELD
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State | VA
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Zip | 22152-2324
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Country | US
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Telephone | 703-451-0232
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0103301403
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License Number State | VA
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