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General NPI Number Information
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NPI Number | 1730215591
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Entity Type | Individual
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Provider Name | MONA B PATEL OD
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 651 GRAND PANAMA BLVD STE 105
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-3458
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Country | US
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Telephone | 850-563-8800
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Fax | 850-563-8801
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Provider Business Mailing Address
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Address Line | 651 GRAND PANAMA BLVD STE 105
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-3458
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Country | US
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Telephone | 850-563-8800
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Fax | 850-563-8801
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1532568T
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC4529
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License Number State | FL
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