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General NPI Number Information
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NPI Number | 1417311929
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Entity Type | Individual
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Provider Name | YAGNESH V PATEL R PH
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Gender | Male
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Dates
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Enumeration Date | 04/11/2016
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 1780 WALL ST
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City | MT PROSPECT
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State | IL
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Zip | 60056-5790
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Country | US
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Telephone | 847-264-7100
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Fax | 847-264-7300
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Provider Business Mailing Address
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Address Line | 4125 ROYAL TROON CT
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City | ST CHARLES
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State | IL
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Zip | 60174-8714
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Country | US
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Telephone | 630-777-2254
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Fax | 847-264-7300
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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 | 051285899
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License Number State | IL
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