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General NPI Number Information
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NPI Number | 1952633000
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Entity Type | Organization
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Legal Business Name | ATU C PATEL M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/30/2010
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Last Update Date | 01/30/2010
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Provider Practice Location Address
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Address Line | 1109 S CENTRAL AVE
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City | GLENDALE
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State | CA
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Zip | 91204-2212
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Country | US
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Telephone | 562-822-0202
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 824
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City | CYPRESS
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State | CA
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Zip | 90630-0824
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Country | US
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Telephone | 562-822-0202
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Fax |
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Authorized Official
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Title or Position | PRESIDIENT
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Name | DR. ATULKUMAR C PATEL
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Credential | M.D.
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Telephone | 562-822-0202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | A38703
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License Number State |
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