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General NPI Number Information
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NPI Number | 1821020074
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Entity Type | Individual
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Provider Name | PRAFUL PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 1118 ROSS CLARK CIR SUITE 600
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City | DOTHAN
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State | AL
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Zip | 36301-3007
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Country | US
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Telephone | 334-793-3900
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Fax | 334-793-5227
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Provider Business Mailing Address
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Address Line | 1118 ROSS CLARK CIR SUITE 600
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City | DOTHAN
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State | AL
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Zip | 36301-3007
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Country | US
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Telephone | 334-793-3900
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Fax | 334-793-5227
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 22261
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License Number State | AL
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