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General NPI Number Information
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NPI Number | 1033645072
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Entity Type | Individual
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Provider Name | PRISCILLA PATEL
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 135 N POINT CIR N
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City | SHELBYVILLE
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State | TN
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Zip | 37160-7423
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Country | US
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Telephone | 732-331-9264
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Fax |
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Provider Business Mailing Address
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Address Line | 135 N POINT CIR N
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City | SHELBYVILLE
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State | TN
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Zip | 37160-7423
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Country | US
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Telephone | 732-331-9264
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Fax |
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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 | 0011216
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH232384
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0000033363
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License Number State | TN
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