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General NPI Number Information
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NPI Number | 1336749167
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Entity Type | Individual
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Provider Name | DIPALI PATEL
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Gender | Female
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 150 SMITH RD
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City | SAINT CHARLES
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State | IL
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Zip | 60174-5203
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Country | US
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Telephone | 630-513-9560
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Fax |
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Provider Business Mailing Address
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Address Line | 1574 SOUTHGATE RD
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City | BARTLETT
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State | IL
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Zip | 60103-2079
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Country | US
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Telephone | 630-452-2521
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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 | 051-040890
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License Number State | IL
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