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NPI 1265746044

NPI 1265746044 : DILESH PATEL RPH : MERCHANTVILLE, NJ

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General NPI Number Information
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    NPI Number           |    1265746044
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    Entity Type          |    Individual 
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    Provider Name        |    DILESH PATEL RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/04/2010
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    Last Update Date     |    08/04/2010
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Provider Practice Location Address
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    Address Line         |    14 S CENTRE ST 
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    City                 |    MERCHANTVILLE
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    State                |    NJ
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    Zip                  |    08109-2203
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    Country              |    US
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    Telephone            |    856-663-1038
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    160 COUNTRY FARMS RD 
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    City                 |    MARLTON
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    State                |    NJ
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    Zip                  |    08053-1453
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    Country              |    US
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    Telephone            |    856-996-5367
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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       |    28RI01758800
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    License Number State |    NJ
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