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General NPI Number Information
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NPI Number | 1912865262
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Entity Type | Individual
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Provider Name | KHUSHI PRAKASH PATEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 200 CAPITOL ST
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City | CLINTON
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State | MS
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Zip | 39056-4026
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Country | US
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Telephone | 601-925-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 38 CANEBRAKE BLVD
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City | HATTIESBURG
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State | MS
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Zip | 39402-8709
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Country | US
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Telephone | 601-818-8047
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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