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General NPI Number Information
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NPI Number | 1396029351
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Entity Type | Individual
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Provider Name | KERAL PATEL
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Gender | Female
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 4918 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37919-5199
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Country | US
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Telephone | 865-588-8013
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 COUNCIL FIRE DR
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City | KNOXVILLE
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State | TN
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Zip | 37918-9544
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Country | US
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Telephone | 812-630-6265
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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 | 014620
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License Number State | KY
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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 | 0000036375
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License Number State | TN
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