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General NPI Number Information
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NPI Number | 1306213467
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Entity Type | Individual
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Provider Name | PURVESH MUKESH PATEL PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 08/25/2015
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Last Update Date | 09/19/2020
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Provider Practice Location Address
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Address Line | 12 N 7TH AVE LOBBY
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2026
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Country | US
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Telephone | 914-664-0015
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Fax | 914-664-0010
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Provider Business Mailing Address
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Address Line | 14 AGNOLA ST
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City | TUCKAHOE
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State | NY
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Zip | 10707-1002
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Country | US
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Telephone | 914-874-6567
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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 | 061058
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License Number State | NY
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