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General NPI Number Information
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NPI Number | 1053851733
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Entity Type | Organization
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Legal Business Name | EXCEL DENTAL, P.C.
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 158 WOOD STREET UNIT 3
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City | LOWELL
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State | MA
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Zip | 01851
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Country | US
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Telephone | 978-677-2114
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Fax | 978-677-2123
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Provider Business Mailing Address
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Address Line | 158 WOOD STREET UNIT 3
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City | LOWELL
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State | MA
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Zip | 01851
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Country | US
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Telephone | 978-677-2114
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Fax | 978-677-2123
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHITRANG B. PATEL
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Credential | DMD
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Telephone | 978-677-2114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1856529
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License Number State | MA
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