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General NPI Number Information
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NPI Number | 1780722397
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Entity Type | Individual
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Provider Name | JAYKUMAR H PATEL D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 07/08/2009
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Provider Practice Location Address
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Address Line | 201 E UNIVERSITY PKWY 33RD STREET PROFESSIONAL BUILDING SUITE 226
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City | BALTIMORE
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State | MD
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Zip | 21218-2829
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Country | US
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Telephone | 410-955-4552
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Fax |
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Provider Business Mailing Address
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Address Line | 37 E FORT AVE
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City | BALTIMORE
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State | MD
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Zip | 21230-4538
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Country | US
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Telephone | 516-695-6510
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | H0069217
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License Number State | MD
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