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General NPI Number Information
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NPI Number | 1811165640
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Entity Type | Organization
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Legal Business Name | C B PATEL, MD, PA
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 7101 GUILFORD DR STE 201
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City | FREDERICK
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State | MD
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Zip | 21704
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Country | US
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Telephone | 240-463-7724
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Fax |
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Provider Business Mailing Address
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Address Line | 4008 BELGRAVE CIR
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City | FREDERICK
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State | MD
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Zip | 21704-7236
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Country | US
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Telephone | 301-874-4750
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHET B. PATEL
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Credential | M.D.
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Telephone | 301-874-4750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0064822
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License Number State | MD
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