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General NPI Number Information
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NPI Number | 1720089329
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Entity Type | Individual
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Provider Name | SHEILA A PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 4002 VISTA WAY
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City | OCEANSIDE
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State | CA
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Zip | 92056-4506
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Country | US
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Telephone | 760-814-2045
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Fax |
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Provider Business Mailing Address
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Address Line | 7093 HERON CIR
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City | CARLSBAD
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State | CA
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Zip | 92011-3975
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Country | US
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Telephone | 760-814-2045
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 43833
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A55639
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License Number State | CA
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