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NPI 1992952253

NPI 1992952253 : NIMESH PATEL, MD LLC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1992952253
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    Entity Type          |    Organization 
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    Legal Business Name  |    NIMESH PATEL, MD LLC 
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Dates
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    Enumeration Date     |    08/19/2008
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    Last Update Date     |    08/19/2008
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Provider Practice Location Address
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    Address Line         |    837 N 2ND ST UNIT 301
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19123-3030
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    Country              |    US
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    Telephone            |    215-625-0775
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    837 N 2ND ST UNIT 301
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19123-3030
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     NIMESH  PATEL 
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    Credential           |    MD
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    Telephone            |    215-625-0775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    
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    License Number State |    
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