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General NPI Number Information
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NPI Number | 1184743486
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Entity Type | Individual
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Provider Name | HITENDRAKUMAR VITTHALBHAI PATEL B.S
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 01/11/2018
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Provider Practice Location Address
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Address Line | 160 N BROAD ST
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City | WOODBURY
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State | NJ
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Zip | 08096-1720
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Country | US
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Telephone | 856-251-1900
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Fax | 856-537-7861
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Provider Business Mailing Address
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Address Line | 111 BUNNING DR
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City | VOORHEES
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State | NJ
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Zip | 08043-4163
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Country | US
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Telephone | 718-702-7163
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Fax | 856-983-1654
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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 | 28RI03048500
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License Number State | NJ
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