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General NPI Number Information
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NPI Number | 1912285255
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Entity Type | Individual
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Provider Name | TARUN PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 15300 WEST AVE STE 210
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City | ORLAND PARK
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State | IL
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Zip | 60462-4686
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Country | US
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Telephone | 708-226-2870
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Fax | 708-226-2390
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Provider Business Mailing Address
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Address Line | 701 W NORTH AVE
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City | MELROSE PARK
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State | IL
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Zip | 60160-1612
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Country | US
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Telephone | 708-681-3200
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 257811
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036166997
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License Number State | IL
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