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General NPI Number Information
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NPI Number | 1841272093
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Entity Type | Individual
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Provider Name | CHETAN K PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 711 E ALTAMONTE DR STE 210
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4806
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Country | US
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Telephone | 407-303-5452
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Fax | 407-303-5448
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Provider Business Mailing Address
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Address Line | 711 E ALTAMONTE DR STE 210
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4806
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Country | US
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Telephone | 407-303-5452
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Fax | 407-303-5448
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME105726
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301067694
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME105726
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License Number State | FL
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