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General NPI Number Information
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NPI Number | 1457775686
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Entity Type | Organization
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Legal Business Name | RAJNIKANT M. PATEL D.D.S. INC
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 260 E ONTARIO AVE STE 102
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City | CORONA
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State | CA
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Zip | 92879-3508
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Country | US
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Telephone | 951-278-9000
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Fax | 951-278-9080
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Provider Business Mailing Address
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Address Line | 260 E ONTARIO AVE STE 102
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City | CORONA
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State | CA
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Zip | 92879-3508
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Country | US
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Telephone | 951-278-9000
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Fax | 951-278-9080
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAJNIKANT M PATEL
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Credential | D.D.S
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Telephone | 951-278-9000
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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 | 38898
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License Number State | CA
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