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General NPI Number Information
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NPI Number | 1437747904
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Entity Type | Individual
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Provider Name | MAYAN PATEL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2021
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Last Update Date | 01/09/2021
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Provider Practice Location Address
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Address Line | 2500 W 4TH ST STE 1
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City | WILMINGTON
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State | DE
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Zip | 19805-3352
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Country | US
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Telephone | 302-660-8847
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Fax |
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Provider Business Mailing Address
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Address Line | 530 HARLAN BLVD UNIT 514
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City | WILMINGTON
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State | DE
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Zip | 19801-5172
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Country | US
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Telephone | 334-419-6178
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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 | A1-0005455
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License Number State | DE
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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 | 27148
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License Number State | MD
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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 | 20451
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License Number State | AL
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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 | RP454312
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License Number State | PA
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