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General NPI Number Information
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NPI Number | 1770912982
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Entity Type | Individual
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Provider Name | JARNA PATEL PA
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 3861 AVALON PARK EAST BLVD
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City | ORLANDO
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State | FL
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Zip | 32828-4853
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Country | US
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Telephone | 407-982-3224
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Fax |
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Provider Business Mailing Address
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Address Line | 55 W CHURCH ST APT 2614
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City | ORLANDO
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State | FL
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Zip | 32801-4925
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Country | US
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Telephone | 561-385-8569
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9107605
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License Number State | FL
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