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General NPI Number Information
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NPI Number | 1073796652
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Entity Type | Individual
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Provider Name | MONISHA KAMLESH PATEL
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Gender | Female
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 45 PINE ST
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City | NEW YORK
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State | NY
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Zip | 10005-1001
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Country | US
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Telephone | 212-742-8454
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Fax | 212-742-8498
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Provider Business Mailing Address
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Address Line | 1457 72ND ST
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-3831
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Country | US
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Telephone | 201-868-4129
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Fax | 212-742-8454
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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 | 044301-1
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License Number State | NY
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