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General NPI Number Information
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NPI Number | 1255676367
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Entity Type | Individual
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Provider Name | MR. PRAGNESHKUMAR R PATEL
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Gender | Male
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 1220 CENTRE AVE
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City | READING
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State | PA
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Zip | 19601-1458
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Country | US
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Telephone | 904-673-0588
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Fax | 610-236-0993
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Provider Business Mailing Address
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Address Line | 1921 CAVALIER LN
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City | CHESTER SPRINGS
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State | PA
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Zip | 19425-3873
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Country | US
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Telephone | 904-673-0588
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Fax | 610-236-0993
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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 | RP443298
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License Number State | PA
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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 | PS37383
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License Number State | FL
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