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General NPI Number Information
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NPI Number | 1811476948
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Entity Type | Individual
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Provider Name | NIKITA N PATEL ND
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Gender | Female
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 05/28/2019
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Provider Practice Location Address
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Address Line | 5500 KNOLL NORTH DR STE 245
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City | COLUMBIA
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State | MD
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Zip | 21045-2475
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Country | US
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Telephone | 410-917-5528
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Fax |
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Provider Business Mailing Address
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Address Line | 6911 NORWOOD FRY
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City | ELKRIDGE
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State | MD
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Zip | 21075-6239
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Country | US
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Telephone | 410-917-5528
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | J00045
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License Number State | MD
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