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General NPI Number Information
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NPI Number | 1902899099
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Entity Type | Individual
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Provider Name | RAJIV R PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 630 W MAIN ST STE 102
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City | WILMINGTON
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State | OH
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Zip | 45177-2181
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Country | US
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Telephone | 937-283-2588
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Fax | 937-283-2594
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Provider Business Mailing Address
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Address Line | 630 W MAIN ST STE 102
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City | WILMINGTON
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State | OH
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Zip | 45177-2181
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Country | US
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Telephone | 937-283-2588
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Fax | 937-283-2594
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35-076617
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD062974L/PA
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License Number State | OH
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