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General NPI Number Information
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NPI Number | 1477122828
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Entity Type | Individual
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Provider Name | PURVI PATEL DMD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 09/14/2025
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Provider Practice Location Address
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Address Line | 35 JOURNAL SQUARE PLAZA SUITE 601
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City | JERSEY CITY
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State | NJ
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Zip | 07306
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Country | US
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Telephone | 201-386-0353
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Fax |
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Provider Business Mailing Address
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Address Line | 65 BAY ST APT 3409
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City | JERSEY CITY
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State | NJ
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Zip | 07302-1658
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Country | US
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Telephone | 732-429-7072
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22D102951200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 064613
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License Number State | NY
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