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General NPI Number Information
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NPI Number | 1770042525
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Entity Type | Individual
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Provider Name | VINITA PATEL MD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 563 WESTFIELD AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-3300
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Country | US
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Telephone | 908-232-5858
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Fax | 908-232-0439
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Provider Business Mailing Address
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Address Line | 1 DIAMOND HILL RD
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City | BERKELEY HEIGHTS
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State | NJ
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Zip | 07922-2104
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Country | US
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Telephone | 908-273-4300
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA11601500
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License Number State | NJ
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