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Individual
DAVDATT V PATEL
Active
Individual
DAVDATT V PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN102301
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312985652B
—
GA
01
—
500BBKMV
MEDICARE ID
GA
01
—
RN102301
LICENSE
GA
Enumeration date
03/22/2006
Last updated
03/07/2023
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