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General NPI Number Information
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NPI Number | 1891016283
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Entity Type | Individual
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Provider Name | TEJAL MAYUR PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2010
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 1030 JEFFERSON AVE
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City | MEMPHIS
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State | TN
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Zip | 38104
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Country | US
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Telephone | 901-523-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 CORAL HILLS DR SUITE 220
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4146
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Country | US
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Telephone | 954-345-0404
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Fax | 954-346-8315
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME124784
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License Number State | FL
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