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General NPI Number Information
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NPI Number | 1841998697
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Entity Type | Organization
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Legal Business Name | K PATEL DDS,PLLC
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 13900 COUNTRY RD 455 109B
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City | CLERMONT
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State | FL
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Zip | 34711
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Country | US
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Telephone | 678-633-9944
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Fax |
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Provider Business Mailing Address
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Address Line | 7193 SOMERSWORTH DR.
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City | ORLANDO
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State | FL
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Zip | 32835
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Country | US
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Telephone | 678-633-9944
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEYURKUMAR PATEL
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Credential |
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Telephone | 678-633-9944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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