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General NPI Number Information
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NPI Number | 1043849417
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Entity Type | Individual
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Provider Name | DR. HITEN PATEL
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Gender | Male
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 1816 GUNBARREL RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3129
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Country | US
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Telephone | 423-954-9063
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Fax |
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Provider Business Mailing Address
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Address Line | 478 HORSESHOE CIR
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City | DAYTON
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State | TN
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Zip | 37321-7606
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Country | US
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Telephone | 423-763-8910
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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 | 40391
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License Number State | TN
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