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General NPI Number Information
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NPI Number | 1720188816
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Entity Type | Individual
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Provider Name | DEPESH K PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CAMPUS HEALTH SERVICES CB# 7470
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City | CHAPEL HILL
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State | NC
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Zip | 27599-7470
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Country | US
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Telephone | 919-966-6560
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Fax | 919-966-0108
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Provider Business Mailing Address
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Address Line | 103 OXFORD CREEK RD
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City | CARY
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State | NC
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Zip | 27519-9761
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Country | US
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Telephone | 919-419-7410
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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 | 2005-000350
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License Number State | NC
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