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NPI 1831886498

NPI 1831886498 : SAI PRIYA PATEL PA-C : NAPERVILLE, IL

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General NPI Number Information
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    NPI Number           |    1831886498
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    Entity Type          |    Individual 
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    Provider Name        |    SAI PRIYA PATEL PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/24/2023
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    Last Update Date     |    08/29/2024
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Provider Practice Location Address
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    Address Line         |    1739 FREEDOM DR STE 101 
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    City                 |    NAPERVILLE
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    State                |    IL
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    Zip                  |    60563-3565
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    Country              |    US
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    Telephone            |    888-938-3838
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    Fax                  |    888-919-1083
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Provider Business Mailing Address
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    Address Line         |    10001 W INNOVATION DR STE 200 
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53226-4851
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    Country              |    US
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    Telephone            |    888-938-3838
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    Fax                  |    888-919-1083
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    085010300
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    License Number State |    IL
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