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General NPI Number Information
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NPI Number | 1235429432
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Entity Type | Individual
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Provider Name | KALPESH J PATEL
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Gender | Male
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Dates
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Enumeration Date | 04/10/2011
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Last Update Date | 04/10/2011
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Provider Practice Location Address
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Address Line | 500 MAIN ST
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City | LIVINGSTON
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State | CA
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Zip | 95334-1428
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Country | US
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Telephone | 209-394-8416
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Fax |
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Provider Business Mailing Address
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Address Line | 3003 WOODSIDE TER
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City | FREMONT
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State | CA
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Zip | 94539-8071
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Country | US
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Telephone | 408-661-3402
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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 | 45015
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License Number State | CA
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