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NPI 1821054503

NPI 1821054503 : VINOD B PATEL MD : GLENDALE, AZ

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General NPI Number Information
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    NPI Number           |    1821054503
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    Entity Type          |    Individual 
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    Provider Name        |    VINOD B PATEL MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/22/2006
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    5620 W THUNDERBIRD RD STE B3 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85306-4638
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    Country              |    US
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    Telephone            |    480-860-0157
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    Fax                  |    623-915-2099
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Provider Business Mailing Address
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    Address Line         |    9874 E DREYFUS AVE 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-4466
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    Country              |    US
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    Telephone            |    480-860-0157
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    Fax                  |    623-915-2099
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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        |    2084B0002X
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    Taxonomy Name        |    Obesity Medicine (Psychiatry & Neurology) Physician
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    License Number       |    14971
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    14971
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    License Number State |    AZ
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Taxonomy #3
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    Taxonomy Code        |    2084S0012X
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    Taxonomy Name        |    Sleep Medicine (Psychiatry & Neurology) Physician
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    License Number       |    14971
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    License Number State |    AZ
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