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General NPI Number Information
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NPI Number | 1396034641
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Entity Type | Individual
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Provider Name | YOGESHKUMAR B PATEL RPH
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Gender | Male
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 75 PEARL ST
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-3625
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Country | US
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Telephone | 802-878-3369
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Fax | 802-878-7595
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Provider Business Mailing Address
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Address Line | 6 OLDE ORCHARD PARK APT 617
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-6968
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Country | US
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Telephone | 810-730-7056
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Fax | 802-864-6080
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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 | 0330003677
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License Number State | VT
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