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General NPI Number Information
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NPI Number | 1821495037
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Entity Type | Individual
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Provider Name | RADHIKA PATEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/03/2014
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 900 CENTENNIAL BLVD 201
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City | VOORHEES
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State | NJ
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Zip | 08043-4637
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Country | US
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Telephone | 856-435-8842
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE SW200
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City | CAMDEN
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State | NJ
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Zip | 08103-1155
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Country | US
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Telephone | 856-435-8842
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MP00353700
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License Number State | NJ
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