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General NPI Number Information
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NPI Number | 1437539665
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Entity Type | Individual
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Provider Name | VINEET PATEL D.D.S
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Gender | Male
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 465 LENOX DR
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City | CANTON
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State | MI
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Zip | 48188-1587
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Country | US
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Telephone | 734-560-0083
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Fax |
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Provider Business Mailing Address
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Address Line | 11803 N 96TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-5963
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Country | US
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Telephone | 734-560-0083
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | P340847778775
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D011437
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License Number State | AZ
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