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General NPI Number Information
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NPI Number | 1750887584
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Entity Type | Organization
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Legal Business Name | PATEL MEDICAL CONSULTING, LLC
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 08/17/2024
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Provider Practice Location Address
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Address Line | 5008 SW SAND AVE
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City | PALM CITY
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State | FL
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Zip | 34990-1395
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Country | US
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Telephone | 850-321-7341
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Fax | 844-446-7242
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Provider Business Mailing Address
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Address Line | 5008 SW SAND AVE
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City | PALM CITY
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State | FL
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Zip | 34990-1395
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Country | US
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Telephone | 850-321-7341
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Fax | 844-446-7242
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Authorized Official
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Title or Position | OWNER
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Name | SHEERIN PATEL
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Credential | MD
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Telephone | 850-321-7341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0096523
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License Number State | FL
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