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General NPI Number Information
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NPI Number | 1386087690
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Entity Type | Individual
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Provider Name | DHARA PATEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 09/26/2021
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Provider Practice Location Address
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Address Line | 299 LINCOLN ST STE 203
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City | WORCESTER
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State | MA
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Zip | 01605-3646
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Country | US
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Telephone | 508-856-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 18 WEDGEWOOD DR
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City | HOPKINTON
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State | MA
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Zip | 01748-1180
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Country | US
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Telephone | 618-567-8575
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 268827
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License Number State | MA
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