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General NPI Number Information
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NPI Number | 1740273556
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Entity Type | Individual
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Provider Name | JITENDRA RAVJI PARMAR MD
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR
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City | EUFAULA
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State | OK
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Zip | 74432-4010
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Country | US
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Telephone | 918-689-2541
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Fax | 918-689-7285
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Provider Business Mailing Address
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Address Line | PO BOX 629
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City | EUFAULA
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State | OK
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Zip | 74432-0629
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Country | US
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Telephone | 918-689-2541
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Fax | 918-689-7285
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 15445
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 32240
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State | IL
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