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General NPI Number Information
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NPI Number | 1043037476
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Entity Type | Individual
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Provider Name | UPASNA PATEL
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Gender | Female
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 20901 N PIMA RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-9193
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Country | US
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Telephone | 480-585-3552
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Fax |
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Provider Business Mailing Address
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Address Line | 9555 E RAINTREE DR UNIT 2005
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-7756
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Country | US
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Telephone | 480-612-4091
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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 | S027242
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License Number State | AZ
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