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General NPI Number Information
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NPI Number | 1295889509
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Entity Type | Organization
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Legal Business Name | BHARGAV CHIMANLAL PATEL
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1607 N MOUNTAIN AVE
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City | UPLAND
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State | CA
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Zip | 91784-1732
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Country | US
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Telephone | 909-985-0914
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Fax | 909-985-0893
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Provider Business Mailing Address
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Address Line | 1607 N MOUNTAIN AVE
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City | UPLAND
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State | CA
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Zip | 91784-1732
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Country | US
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Telephone | 909-985-0914
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Fax | 909-985-0893
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Authorized Official
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Title or Position | OWNER-PHARMACIST
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Name | MR. BHARGAV C PATEL
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Credential |
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Telephone | 909-985-0914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY43654
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License Number State | CA
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