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General NPI Number Information
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NPI Number | 1922467828
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Entity Type | Individual
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Provider Name | REEMABEN PATEL
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Gender | Female
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Dates
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Enumeration Date | 02/19/2016
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Last Update Date | 02/19/2016
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Provider Practice Location Address
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Address Line | 115 SARATOGA RD SUITE 110
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City | GLENVILLE
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State | NY
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Zip | 12302-4211
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Country | US
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Telephone | 518-264-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 15A SHERIDAN VLG APT 4
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City | SCHENECTADY
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State | NY
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Zip | 12308-1427
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Country | US
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Telephone | 518-881-9748
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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 | 019493
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License Number State | NY
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