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General NPI Number Information
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NPI Number | 1700679628
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Entity Type | Organization
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Legal Business Name | KANU PATEL M.D.,P.A.
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 7235 HANOVER PKWY STE B
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City | GREENBELT
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State | MD
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Zip | 20770-3601
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Country | US
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Telephone | 301-441-3122
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Fax | 301-441-3124
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Provider Business Mailing Address
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Address Line | 7231 HANOVER PKWY STE B
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City | GREENBELT
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State | MD
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Zip | 20770-2027
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Country | US
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Telephone | 301-441-3122
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Fax | 301-441-3124
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Authorized Official
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Title or Position | OWNER
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Name | KANAIYALAL PATEL
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Credential | MD
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Telephone | 301-441-3122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number |
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License Number State |
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