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General NPI Number Information
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NPI Number | 1346519691
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Entity Type | Individual
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Provider Name | ARTI PATEL PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 12/15/2011
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 1320 E 47TH ST
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City | CHICAGO
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State | IL
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Zip | 60653-4508
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Country | US
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Telephone | 773-373-6147
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Fax | 773-373-6163
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Provider Business Mailing Address
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Address Line | 5248 N LARNED AVE
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City | CHICAGO
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State | IL
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Zip | 60630-1406
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Country | US
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Telephone | 773-213-1128
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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 | 051291266
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License Number State | IL
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