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General NPI Number Information
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NPI Number | 1780644294
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Entity Type | Individual
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Provider Name | CHARU K PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 06/06/2019
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Provider Practice Location Address
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Address Line | 60 HODGES AVENUE TAUNTON STATE HOSPITAL
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City | TAUNTON
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State | MA
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Zip | 02780-0997
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Country | US
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Telephone | 508-977-3332
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Fax | 508-977-3751
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Provider Business Mailing Address
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Address Line | 245 NICHOLS DRIVE
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City | TAUNTON
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State | MA
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Zip | 02780-7129
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Country | US
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Telephone | 508-977-9347
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Fax | 508-977-3751
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 53028
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License Number State | MA
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