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General NPI Number Information
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NPI Number | 1972132462
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Entity Type | Individual
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Provider Name | NIKITA PATEL MD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 27 S COOKS BRIDGE RD STE 2-7
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City | JACKSON
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State | NJ
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Zip | 08527-2463
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Country | US
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Telephone | 732-295-6543
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Fax | 732-295-6204
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS ROAD BLDG. 2, SUITE 220
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City | RED BANK
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State | NJ
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Zip | 07701
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Country | US
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Telephone | 732-807-0877
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Fax | 201-751-1680
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA12703800
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License Number State | NJ
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