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General NPI Number Information
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NPI Number | 1881109221
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Entity Type | Organization
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Legal Business Name | PATEL CARDIOVASCULAR CONSULTANTS LLC
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Dates
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Enumeration Date | 12/07/2017
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 240 MIDDLETOWN BLVD STE 101C
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City | LANGHORNE
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State | PA
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Zip | 19047
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Country | US
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Telephone | 267-560-5461
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Fax | 267-358-5448
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Provider Business Mailing Address
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Address Line | 308 PENNINGTON TITUSVILLE RD
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City | PENNINGTON
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State | NJ
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Zip | 08534-4103
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Country | US
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Telephone | 215-588-8922
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Fax | 267-358-5448
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. MRUGESH B PATEL
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Credential | MD
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Telephone | 215-588-8922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD068305L
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License Number State | PA
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