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NPI 1730115981

NPI 1730115981 : ROHIT R PATEL MD : CLARKSVILLE, TN

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General NPI Number Information
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    NPI Number           |    1730115981
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    Entity Type          |    Individual 
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    Provider Name        |    ROHIT R PATEL MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/22/2006
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    Last Update Date     |    09/27/2012
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Provider Practice Location Address
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    Address Line         |    776 WEATHERLY DR STE A
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    City                 |    CLARKSVILLE
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    State                |    TN
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    Zip                  |    37043-8941
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    Country              |    US
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    Telephone            |    931-906-2004
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 440100 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37244-0100
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    Country              |    US
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    Telephone            |    615-329-0570
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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        |    207RX0202X
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    Taxonomy Name        |    Medical Oncology Physician
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    License Number       |    29545
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    License Number State |    TN
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