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General NPI Number Information
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NPI Number | 1104707488
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Entity Type | Individual
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Provider Name | RICKY PATEL
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Gender | Male
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1120 W LA PALMA AVE STE 1
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City | ANAHEIM
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State | CA
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Zip | 92801-2820
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Country | US
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Telephone | 714-776-2800
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Fax | 714-776-2118
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Provider Business Mailing Address
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Address Line | 1120 W LA PALMA AVE STE 1
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City | ANAHEIM
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State | CA
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Zip | 92801-2820
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Country | US
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Telephone | 714-776-2800
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Fax | 714-776-2118
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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 | 69842
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License Number State | CA
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