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General NPI Number Information
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NPI Number | 1972821825
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Entity Type | Individual
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Provider Name | RICKYN PRAKASH PATEL D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2010
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 7447 W TALCOTT AVE STE 222
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City | CHICAGO
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State | IL
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Zip | 60631-3713
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Country | US
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Telephone | 773-326-2244
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Fax | 737-748-5807
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Provider Business Mailing Address
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Address Line | 7447 W TALCOTT AVE STE 222
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City | CHICAGO
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State | IL
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Zip | 60631-3713
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Country | US
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Telephone | 733-262-2447
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Fax | 773-774-8580
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10037099
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 02004853A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036167410
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License Number State | IL
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