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General NPI Number Information
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NPI Number | 1316356793
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Entity Type | Organization
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Legal Business Name | NILESH R. PATEL, DMD., MD
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Dates
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Enumeration Date | 08/10/2014
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Last Update Date | 08/10/2014
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Provider Practice Location Address
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Address Line | 1505 STATE ROUTE 27
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City | SOMERSET
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State | NJ
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Zip | 08873-4018
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Country | US
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Telephone | 732-846-6350
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Fax | 732-846-6311
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Provider Business Mailing Address
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Address Line | 1505 STATE ROUTE 27
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City | SOMERSET
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State | NJ
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Zip | 08873-4018
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Country | US
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Telephone | 732-846-6350
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Fax | 732-846-6311
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Authorized Official
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Title or Position | MEMBER
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Name | MR. NILESH PATEL R
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Credential | DMD., MD
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Telephone | 732-713-0215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DI22885
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License Number State | NJ
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