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General NPI Number Information
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NPI Number | 1366603219
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Entity Type | Organization
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Legal Business Name | RSPATEL, INC.
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 1533 ELLINWOOD AVE
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City | DES PLAINES
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State | IL
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Zip | 60016-4553
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Country | US
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Telephone | 847-297-0808
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Fax | 847-297-0807
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Provider Business Mailing Address
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Address Line | 7 ALLEGHENY CT
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City | STREAMWOOD
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State | IL
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Zip | 60107-4507
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Country | US
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Telephone | 847-297-0808
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Fax | 847-297-0807
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SEJAL G. PATEL
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Credential | D.D.S
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Telephone | 847-297-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019027620
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License Number State | IL
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