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General NPI Number Information
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NPI Number | 1861198269
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Entity Type | Individual
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Provider Name | VIBHUTIBEN AMITBHAI PATEL PT
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Gender | Female
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 2326 GIANNA DR
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City | GLASSBORO
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State | NJ
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Zip | 08028-3462
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Country | US
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Telephone | 314-398-0511
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Fax |
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Provider Business Mailing Address
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Address Line | 2326 GIANNA DR
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City | GLASSBORO
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State | NJ
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Zip | 08028-3462
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 046618-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02144800
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License Number State | NJ
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