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General NPI Number Information
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NPI Number | 1306961412
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Entity Type | Individual
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Provider Name | YOGI N PATEL RPH
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6902 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-3317
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Country | US
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Telephone | 863-646-3617
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Fax | 863-647-2458
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Provider Business Mailing Address
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Address Line | 5555 HARRELLS NURSERY RD
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City | LAKELAND
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State | FL
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Zip | 33813-6331
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Country | US
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Telephone | 863-646-5156
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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 | PS34703
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License Number State | FL
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