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Organization
MAVIE LLC
Active
Organization
MAVIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVIKUMAR PATEL DO (PARTNER)
(864) 905-7900
Entity
Organization
Contact information
Practice address
1220 YOKE RD, LA PINE, OR 97739-8981
(888) 711-5993
(888) 711-6216
Mailing address
1686 E WILDWOOD DR, COLUMBIA CITY, IN 46725-8682
(888) 711-5993
(888) 711-6216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
06/05/2026
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