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General NPI Number Information
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NPI Number | 1760163398
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Entity Type | Individual
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Provider Name | DIMPY PATEL
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Gender | Female
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 2181 AMBLESIDE DR
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City | CLEVELAND
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State | OH
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Zip | 44106-4645
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Country | US
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Telephone | 216-532-1347
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Fax |
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Provider Business Mailing Address
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Address Line | 11065 CREEK VIEW WAY
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City | COLUMBIA STATION
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State | OH
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Zip | 44028-9863
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Country | US
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Telephone | 216-577-2800
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT020628
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License Number State | OH
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