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General NPI Number Information
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NPI Number | 1245495720
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Entity Type | Individual
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Provider Name | SEJAL SATISH PATEL DMD
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Gender | Female
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 341 GRAFF RD
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City | NEW PHILADELPHIA
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State | OH
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Zip | 44663
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Country | US
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Telephone | 330-339-0900
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Fax | 330-339-2029
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Provider Business Mailing Address
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Address Line | PO BOX 3189
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City | SYRACUSE
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State | NY
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Zip | 13220
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Country | US
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Telephone | 315-454-6000
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30-022755
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License Number State | OH
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