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General NPI Number Information
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NPI Number | 1457838120
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Entity Type | Individual
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Provider Name | AVINASH PATEL DDS
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Gender | Male
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 723 FOXON RD
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City | EAST HAVEN
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State | CT
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Zip | 06513
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Country | US
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Telephone | 203-466-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 11 GATE HOUSE LN
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City | MAMARONECK
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State | NY
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Zip | 10543-1012
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Country | US
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Telephone |
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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 | 12310
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License Number State | CT
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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 | DN23612
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License Number State | FL
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