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General NPI Number Information
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NPI Number | 1881283372
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Entity Type | Individual
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Provider Name | RADHA PATEL NP-C
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Gender | Female
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 497 N WENDOVER RD
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City | CHARLOTTE
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State | NC
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Zip | 28211-1064
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Country | US
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Telephone | 704-385-5113
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Fax | 704-469-5611
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Provider Business Mailing Address
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Address Line | 7008 TREMONT DR
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-8860
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Country | US
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Telephone | 919-434-4822
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 322931
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5021761
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License Number State | NC
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