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General NPI Number Information
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NPI Number | 1033469614
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Entity Type | Individual
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Provider Name | KANDARP D PATEL R. PH
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Gender | Male
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Dates
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Enumeration Date | 09/11/2012
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Last Update Date | 07/17/2019
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Provider Practice Location Address
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Address Line | 14806 N DEL WEBB BLVD
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City | SUN CITY
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State | AZ
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Zip | 85351-2146
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Country | US
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Telephone | 602-266-0021
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Fax | 602-266-0068
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Provider Business Mailing Address
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Address Line | 400 S 99TH AVE STE 200
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City | TOLLESON
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State | AZ
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Zip | 85353-9706
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Country | US
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Telephone | 602-382-5499
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Fax | 602-382-5386
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S012443
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License Number State | AZ
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