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General NPI Number Information
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NPI Number | 1699924241
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Entity Type | Organization
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Legal Business Name | NAMITA PATEL, LLC
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Dates
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Enumeration Date | 09/18/2008
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 109 CENTRAL AVE
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City | CARTERSVILLE
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State | GA
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Zip | 30120-3905
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Country | US
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Telephone | 404-822-6105
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Fax | 678-669-1750
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Provider Business Mailing Address
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Address Line | 109 CENTRAL AVE
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City | CARTERSVILLE
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State | GA
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Zip | 30120-3905
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Country | US
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Telephone | 404-822-6105
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Fax | 678-669-1750
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Authorized Official
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Title or Position | APRN
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Name | NAMITA G PATEL
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Credential | APRN
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Telephone | 404-822-6105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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