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General NPI Number Information
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NPI Number | 1386911964
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Entity Type | Individual
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Provider Name | MAYUR K PATEL RPH
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Gender | Male
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Dates
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Enumeration Date | 11/25/2011
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Last Update Date | 11/25/2011
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Provider Practice Location Address
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Address Line | 800 BIERMANN CT
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-2151
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Country | US
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Telephone | 847-634-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 740 N HUNDLEY ST
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-4557
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Country | US
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Telephone | 847-882-5169
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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 | 051.286571
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302031746
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 013103
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0011863
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License Number State | OR
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