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General NPI Number Information
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NPI Number | 1851553804
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Entity Type | Individual
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Provider Name | NIKUNJ M PATEL M D
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Gender | Male
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 4477 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-1535
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Country | US
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Telephone | 323-264-2890
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Fax | 323-264-7150
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Provider Business Mailing Address
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Address Line | 4477 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-1535
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Country | US
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Telephone | 323-264-2890
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Fax | 323-264-7150
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A114074
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E6538
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License Number State | AR
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