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General NPI Number Information
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NPI Number | 1083946115
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Entity Type | Individual
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Provider Name | DHIREN BHARATKUMAR PATEL M.S, R.PH
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Gender | Male
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Dates
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Enumeration Date | 01/29/2010
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3771 103RD ST
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City | CORONA
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State | NY
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Zip | 11368-3191
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Country | US
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Telephone | 718-779-4450
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Fax | 718-779-4453
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Provider Business Mailing Address
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Address Line | 3293 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10027-7909
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Country | US
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Telephone | 212-281-0488
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Fax | 212-281-0487
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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 | 047288
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI02788500
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License Number State | NJ
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