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General NPI Number Information
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NPI Number | 1790819456
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Entity Type | Organization
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Legal Business Name | ASHOK PC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 4104 MUIRFIELD CT
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City | PUEBLO
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State | CO
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Zip | 81001-1107
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Country | US
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Telephone | 719-542-7222
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Fax | 719-937-5082
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Provider Business Mailing Address
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Address Line | 4104 MUIRFIELD CT
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City | PUEBLO
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State | CO
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Zip | 81001-1107
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Country | US
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Telephone | 719-542-7222
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Fax | 719-937-5082
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | MR. ASHOK R PATEL
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Credential | MD
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Telephone | 719-542-7222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 27185
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License Number State | CO
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