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General NPI Number Information
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NPI Number | 1740570738
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Entity Type | Organization
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Legal Business Name | NIMA P. PATEL M.D., P.C.
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 03/31/2014
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Provider Practice Location Address
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Address Line | 35 SUTTON PL
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City | NEW YORK
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State | NY
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Zip | 10022-2429
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Country | US
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Telephone | 212-486-2720
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Fax |
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Provider Business Mailing Address
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Address Line | 4878 37TH ST
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-1904
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NIMA PRAFUL PATEL
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Credential | M.D.
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Telephone | 718-200-0935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 255682-1
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License Number State | NY
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