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General NPI Number Information
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NPI Number | 1730848052
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Entity Type | Individual
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Provider Name | REESHA PATEL
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Gender | Female
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 260 E 67TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-6212
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Country | US
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Telephone | 212-629-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 14 SKYLINE DR
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City | RANDOLPH
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State | NJ
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Zip | 07869-2156
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Country | US
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Telephone | 734-674-7586
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 02774301
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 25MP00671600
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License Number State | NJ
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