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General NPI Number Information
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NPI Number | 1760504898
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Entity Type | Organization
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Legal Business Name | SHARAD S. PATEL M.D. INC.
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 S BUENA VISTA ST STE 440
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City | BURBANK
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State | CA
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Zip | 91505-4577
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Country | US
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Telephone | 818-842-7778
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Fax | 818-842-2086
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Provider Business Mailing Address
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Address Line | 201 S BUENA VISTA ST STE 440
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City | BURBANK
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State | CA
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Zip | 91505-4577
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Country | US
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Telephone | 818-842-7778
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Fax | 818-842-2086
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SHARAD S PATEL
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Credential | M.D.
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Telephone | 818-842-7778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A25839
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License Number State | CA
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