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NPI 1952852501

NPI 1952852501 : ANKIT K PATEL MSPT : NORTH WALES, PA

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General NPI Number Information
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    NPI Number           |    1952852501
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    Entity Type          |    Individual 
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    Provider Name        |    ANKIT K PATEL MSPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/19/2016
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    Last Update Date     |    01/20/2017
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Provider Practice Location Address
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    Address Line         |    1200 WELSH RD 
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    City                 |    NORTH WALES
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    State                |    PA
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    Zip                  |    19454-3771
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    Country              |    US
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    Telephone            |    215-361-3622
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    Fax                  |    215-361-8580
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Provider Business Mailing Address
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    Address Line         |    1200 WELSH RD 
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    City                 |    NORTH WALES
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    State                |    PA
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    Zip                  |    19454-3771
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    Country              |    US
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    Telephone            |    215-361-3622
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    Fax                  |    215-361-8580
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    J1-0003567
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT025579
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    License Number State |    PA
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