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General NPI Number Information
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NPI Number | 1922053404
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Entity Type | Organization
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Legal Business Name | MAHENDRA N. PATEL, M.D., INC.
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 10515 BALBOA BLVD SUITE 380
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City | GRANADA HILLS
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State | CA
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Zip | 91344-6343
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Country | US
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Telephone | 818-363-7120
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Fax | 818-832-4420
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Provider Business Mailing Address
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Address Line | 10515 BALBOA BLVD SUITE 380
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City | GRANADA HILLS
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State | CA
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Zip | 91344-6343
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Country | US
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Telephone | 818-363-7120
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Fax | 818-832-4420
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | MRS. ANN M. PATEL
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Credential |
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Telephone | 818-363-7120
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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 |
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License Number State |
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