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General NPI Number Information
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NPI Number | 1346598158
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Entity Type | Individual
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Provider Name | SUSAN HITESH PATEL
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Gender | Female
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 4400 DORCHESTER RD
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-6849
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Country | US
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Telephone | 843-554-6193
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Fax |
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Provider Business Mailing Address
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Address Line | 4715 SAUL WHITE BLVD
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City | CHARLESTON
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State | SC
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Zip | 29418-7923
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Country | US
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Telephone |
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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 | 9959
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License Number State | SC
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