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General NPI Number Information
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NPI Number | 1831398452
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Entity Type | Individual
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Provider Name | BADRISH JAYANTI PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 2 PENNS WAY SUITE 407
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City | NEW CASTLE
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State | DE
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Zip | 19720-2407
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Country | US
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Telephone | 302-613-5080
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Fax | 302-328-7313
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Provider Business Mailing Address
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Address Line | 4745 OGLETOWN STANTON RD SUITE 220
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City | NEWARK
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State | DE
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Zip | 19713-2067
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Country | US
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Telephone | 302-368-5515
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Fax | 302-266-6168
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME99306
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | C1-0008634
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License Number State | DE
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