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General NPI Number Information
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NPI Number | 1952746133
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Entity Type | Individual
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Provider Name | SHRUTI PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 3180 N POINT PKWY STE 303
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City | ALPHARETTA
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State | GA
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Zip | 30005-4522
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Country | US
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Telephone | 678-205-9004
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Fax | 678-205-9005
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Provider Business Mailing Address
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Address Line | 4850 SUGARLOAF PKWY STE 101
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-2860
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Country | US
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Telephone |
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Fax | 415-252-7176
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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 | 87261
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License Number State | GA
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