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General NPI Number Information
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NPI Number | 1952214553
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Entity Type | Individual
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Provider Name | BRIJ PATEL
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Gender | Male
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 5670 OLD WINDER HWY STE 102
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City | BRASELTON
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State | GA
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Zip | 30517-1239
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Country | US
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Telephone | 470-219-8825
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Fax |
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Provider Business Mailing Address
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Address Line | 203 HEAVENVIEW DR
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City | WALHALLA
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State | SC
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Zip | 29691-4002
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Country | US
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Telephone | 864-784-4945
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR066751
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License Number State | GA
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