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General NPI Number Information
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NPI Number | 1750709143
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Entity Type | Individual
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Provider Name | KIRTAN PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 3000 ERIE ST S
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City | MASSILLON
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State | OH
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Zip | 44646-7976
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Country | US
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Telephone | 724-472-8354
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Fax |
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Provider Business Mailing Address
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Address Line | 6 LANDINGS DR
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City | PITTSBURGH
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State | PA
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Zip | 15238-1366
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Country | US
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Telephone | 724-472-8354
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Fax | 888-731-1294
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 83051
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.134534
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD465125
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License Number State | PA
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