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General NPI Number Information
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NPI Number | 1144068495
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Entity Type | Individual
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Provider Name | DEVYA PATEL
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Gender | Female
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Dates
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Enumeration Date | 07/19/2024
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Last Update Date | 11/17/2024
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Provider Practice Location Address
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Address Line | 354 WINCHESTER ST
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City | KEENE
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State | NH
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Zip | 03431-3936
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Country | US
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Telephone | 603-352-6969
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Fax |
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Provider Business Mailing Address
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Address Line | 810 STIRLING RD
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City | SILVER SPRING
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State | MD
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Zip | 20901-2260
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Country | US
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Telephone | 301-283-9930
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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 | 033.0134999
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License Number State | VT
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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 | PHCY-05118
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License Number State | NH
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