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General NPI Number Information
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NPI Number | 1841633286
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Entity Type | Individual
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Provider Name | RAVI KUMAR PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 501 SE OSCEOLA ST STE 301
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City | STUART
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State | FL
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Zip | 34994-2347
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Country | US
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Telephone | 772-223-5945
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Fax |
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Provider Business Mailing Address
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Address Line | 501 SE OSCEOLA ST STE 301
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City | STUART
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State | FL
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Zip | 34994-2347
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Country | US
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Telephone | 772-223-5945
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME144211
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License Number State | FL
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