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General NPI Number Information
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NPI Number | 1245483585
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Entity Type | Individual
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Provider Name | JITENDRA K PATEL PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 1380 LORING AVE
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City | BROOKLYN
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State | NY
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Zip | 11208
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Country | US
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Telephone | 718-277-0898
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Fax | 718-277-0895
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Provider Business Mailing Address
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Address Line | 40 W MAIN ST
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City | SOMERVILLE
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State | NJ
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Zip | 08876-2203
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Country | US
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Telephone | 908-725-0585
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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 | 000120
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License Number State | NY
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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 | 28RI02906300
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License Number State | NJ
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