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General NPI Number Information
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NPI Number | 1083912398
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Entity Type | Individual
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Provider Name | BHAVESH KANTILAL PATEL PH.D., RPH
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Gender | Male
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 929 KILDAIRE FARM RD
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City | CARY
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State | NC
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Zip | 27511-3922
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Country | US
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Telephone | 919-467-0192
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Fax |
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Provider Business Mailing Address
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Address Line | 510 CHANDLER GRANT DR
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City | CARY
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State | NC
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Zip | 27519-8878
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Country | US
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Telephone | 919-462-8471
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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 | 18597
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License Number State | NC
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