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NPI Code Detail

MEDICARE: ANMOL B PATEL

MEDICARE: ANMOL B PATEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1871084491
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANMOL B PATEL
Provider Business Mailing Address
First Line : 2020 N ACADEMY BLVD STE 178
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1567
Country : US
Telephone Number : 719-302-3111
Fax Number :
Provider Business Practice Location Address
First Line : 2020 N ACADEMY BLVD STE 278
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1568
Country : US
Telephone Number : 719-302-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2018
Last Update Date : 03/02/2021

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Directions to “ ANMOL B PATEL ” Practice Location

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