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General NPI Number Information
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NPI Number | 1952463648
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Entity Type | Individual
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Provider Name | URVI RAMESH PATEL O.D.
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 02/07/2018
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Provider Practice Location Address
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Address Line | 1540 FROOM RANCH WAY
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-7211
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Country | US
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Telephone | 805-544-0450
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Fax | 805-544-0275
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Provider Business Mailing Address
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Address Line | 1540 FROOM RANCH WAY
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-7211
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Country | US
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Telephone | 805-544-0450
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Fax | 805-544-0275
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11941T
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License Number State | CA
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