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General NPI Number Information
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NPI Number | 1255756201
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Entity Type | Individual
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Provider Name | VAISHALI ALPESH PATEL
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Gender | Female
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4505 E MCKELLIPS RD
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City | MESA
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State | AZ
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Zip | 85215-2523
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Country | US
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Telephone | 480-641-6740
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Fax |
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Provider Business Mailing Address
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Address Line | 3679 E LINDA LN
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City | GILBERT
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State | AZ
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Zip | 85234-4340
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Country | US
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Telephone | 480-678-4506
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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 | S014827
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License Number State | AZ
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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 | 59394
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License Number State | CA
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