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General NPI Number Information
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NPI Number | 1811676307
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Entity Type | Individual
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Provider Name | AVANI PATEL BSN
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Gender | Female
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 145 ROUTE 34
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City | MATAWAN
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State | NJ
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Zip | 07747-2187
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Country | US
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Telephone | 732-242-3646
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Fax |
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Provider Business Mailing Address
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Address Line | 8 SASHA CT
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City | MATAWAN
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State | NJ
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Zip | 07747-6856
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Country | US
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Telephone | 908-510-8190
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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