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General NPI Number Information
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NPI Number | 1295641538
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Entity Type | Organization
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Legal Business Name | NISHITA D. PATEL,PLLC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 7025 N WICKHAM RD STE 105
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City | MELBOURNE
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State | FL
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Zip | 32940-7503
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Country | US
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Telephone | 650-391-7585
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Fax |
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Provider Business Mailing Address
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Address Line | 6474 MODERN DURAN DR
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City | MELBOURNE
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State | FL
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Zip | 32940-2832
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Country | US
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Telephone | 650-391-7585
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. NISHITA DIPAKKUMAR PATEL
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Credential | DDS
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Telephone | 650-391-7585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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