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General NPI Number Information
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NPI Number | 1366248288
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Entity Type | Organization
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Legal Business Name | VISHAL PATEL DMD PLLC
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 10720 S TRYON ST STE H
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City | CHARLOTTE
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State | NC
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Zip | 28273-4572
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Country | US
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Telephone | 419-513-9187
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Fax |
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Provider Business Mailing Address
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Address Line | 12729 RUSTY BLACKBIRD WAY
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City | CHARLOTTE
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State | NC
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Zip | 28278-6892
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Country | US
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Telephone | 419-513-9187
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | VISHAL A PATEL
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Credential | DMD
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Telephone | 419-513-9187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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