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General NPI Number Information
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NPI Number | 1720063134
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Entity Type | Organization
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Legal Business Name | MAHESH PATEL, MD,PC
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 1509 NE PARVIN RD
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-2304
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Country | US
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Telephone | 816-283-3396
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Fax | 913-685-0622
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Provider Business Mailing Address
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Address Line | PO BOX 26124
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City | SHAWNEE MISSION
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State | KS
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Zip | 66225-6124
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Country | US
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Telephone | 913-685-0622
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Fax | 913-685-0622
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAHESH PATEL
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Credential | MD
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Telephone | 913-685-0622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD 103040
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License Number State | MO
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