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General NPI Number Information
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NPI Number | 1851471882
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Entity Type | Individual
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Provider Name | NAVNITLAL PREMJI PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 18471 HAGGERTY RD
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City | NORTHVILLE
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State | MI
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Zip | 48168-8513
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Country | US
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Telephone | 248-349-3000
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Fax | 248-349-9552
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Provider Business Mailing Address
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Address Line | 5896 NANEVA CT
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-2516
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Country | US
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Telephone | 248-626-2489
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 4301043051
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License Number State | MI
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