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NPI 1902100746

NPI 1902100746 : AMI KIRIT PATEL M.D. : WATERLOO, IA

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General NPI Number Information
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    NPI Number           |    1902100746
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    Entity Type          |    Individual 
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    Provider Name        |    AMI KIRIT PATEL M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/10/2011
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    Last Update Date     |    08/24/2021
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Provider Practice Location Address
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    Address Line         |    2710 SAINT FRANCIS DR STE 300 
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    City                 |    WATERLOO
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    State                |    IA
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    Zip                  |    50702-5620
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    Country              |    US
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    Telephone            |    319-272-5000
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    Fax                  |    319-272-5690
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Provider Business Mailing Address
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    Address Line         |    2710 SAINT FRANCIS DR STE 300 
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    City                 |    WATERLOO
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    State                |    IA
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    Zip                  |    50702-5620
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    Country              |    US
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    Telephone            |    319-272-5000
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    Fax                  |    319-272-5690
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    262159
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    036136639
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    MD45818
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    License Number State |    IA
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