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General NPI Number Information
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NPI Number | 1780947531
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Entity Type | Individual
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Provider Name | NISHANT ANILKUMAR PATEL M.D., M.B.A.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 10800 E GEDDES AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-3895
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Country | US
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Telephone | 303-761-9190
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Fax | 720-874-4462
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Provider Business Mailing Address
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Address Line | 10800 E GEDDES AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-3895
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Country | US
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Telephone | 303-761-9190
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Fax | 720-874-4462
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 60130
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License Number State | CO
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