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General NPI Number Information
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NPI Number | 1932479953
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Entity Type | Individual
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Provider Name | JAY BABUBHAI PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 3811 E BELL RD STE 111
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City | PHOENIX
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State | AZ
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Zip | 85032-2158
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Country | US
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Telephone | 602-675-2585
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20610
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City | MESA
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State | AZ
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Zip | 85277-0610
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Country | US
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Telephone | 480-985-1093
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Fax | 480-296-7647
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 47112
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License Number State | AZ
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