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General NPI Number Information
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NPI Number | 1932511904
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Entity Type | Individual
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Provider Name | NIKITA MOHAN PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 1655 DALIDIO DR UNIT 3151
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93403-7007
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Country | US
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Telephone | 805-316-0698
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Fax |
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Provider Business Mailing Address
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Address Line | 1655 DALIDIO DR UNIT 3151
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93403-7007
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Country | US
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Telephone | 805-316-0698
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 60871
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 60871
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD2019-0933
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | A143360
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A143360
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A143360
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C1-0029077
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License Number State | DE
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Taxonomy #8
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | C1-0029077
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License Number State | DE
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