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General NPI Number Information
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NPI Number | 1720541519
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Entity Type | Individual
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Provider Name | KUNAL SHANAT PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 2310 ERWIN RD
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City | DURHAM
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State | NC
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Zip | 27710-6402
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Country | US
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Telephone | 919-684-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 9908 CAMBRIDGE FOREST CT
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City | CHARLOTTE
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State | NC
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Zip | 28277-7300
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Country | US
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Telephone | 704-858-7086
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 92001
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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