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General NPI Number Information
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NPI Number | 1982079448
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Entity Type | Organization
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Legal Business Name | MONALI PATEL MD INC
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 2400 E 4TH ST
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2026
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Country | US
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Telephone | 619-746-6530
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Fax | 619-746-6528
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Provider Business Mailing Address
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Address Line | PO BOX 390005
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City | SAN DIEGO
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State | CA
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Zip | 92149-0005
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Country | US
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Telephone | 619-746-6530
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Fax | 619-746-6528
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MONALI PATEL
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Credential | M.D.
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Telephone | 619-746-6530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A117320
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License Number State | CA
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