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General NPI Number Information
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NPI Number | 1194619494
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Entity Type | Individual
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Provider Name | VEDANSIBAHEN PATEL
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 549 PARKVIEW DR
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City | NEW WHITELAND
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State | IN
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Zip | 46184-1365
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Country | US
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Telephone | 317-680-5559
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Fax |
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Provider Business Mailing Address
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Address Line | 2227 MICHIGAN RD APT 1
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City | MADISON
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State | IN
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Zip | 47250-2401
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Country | US
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Telephone | 732-371-7181
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12014716A
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License Number State | IN
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