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General NPI Number Information
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NPI Number | 1386473536
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Entity Type | Individual
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Provider Name | MAYA VIRENDRA PATEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2024
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 4811 N 83RD AVE
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City | PHOENIX
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State | AZ
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Zip | 85033-1000
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Country | US
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Telephone | 623-247-4445
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Fax |
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Provider Business Mailing Address
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Address Line | 17201 KEELY DR
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City | TAMPA
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State | FL
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Zip | 33647-2607
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Country | US
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Telephone | 813-952-8592
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | S027026
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 48466
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 033.0135390
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RPH035029
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RPH90150
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 071794
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5261971
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License Number State | ID
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Taxonomy #8
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 74631
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PS67094
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License Number State | FL
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