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1306407200
SHASTA PATEL
COLUMBIA, MD
NPI
1306407200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R151007)
Enumeration Date
2019-06-22
Last Update Date
2019-06-22
Business Address
Ms. SHASTA PATEL CRNP
8900 COLUMBIA 100 PKWY STE G
COLUMBIA, MD 21045-2336
Phone number: 410-740-9001
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Mailing Address
Ms. SHASTA PATEL CRNP
PO BOX 434
LISBON, MD 21765-0434
Phone number: 410-274-1401
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