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General NPI Number Information
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NPI Number | 1174036222
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Entity Type | Individual
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Provider Name | DHRUVANG JAGDISHBHAI PATEL MBBS, SA-C
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Gender | Male
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Dates
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Enumeration Date | 11/12/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 109 BEE ST
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City | CHARLESTON
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State | SC
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Zip | 29401-5703
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Country | US
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Telephone | 843-789-6012
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Fax |
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Provider Business Mailing Address
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Address Line | 6880 RIVERS AVE UNIT 1321
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4887
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Country | US
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Telephone | 706-718-4585
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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 | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number |
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Taxonomy #2
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Taxonomy Code | 1744R1103X
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Taxonomy Name | Research Study Abstracter/Coder
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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Taxonomy #4
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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