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General NPI Number Information
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NPI Number | 1962825240
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Entity Type | Organization
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Legal Business Name | HANSA M PATEL MD INC
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 622 34TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2208
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Country | US
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Telephone | 661-327-9154
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Fax | 661-871-1413
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Provider Business Mailing Address
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Address Line | 622 34TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2208
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Country | US
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Telephone | 661-327-9154
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Fax | 661-871-1413
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Authorized Official
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Title or Position | DIRECTOR
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Name | HANSA M PATEL
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Credential | MD
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Telephone | 661-327-9154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A30290
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License Number State | CA
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