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General NPI Number Information
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NPI Number | 1477220911
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Entity Type | Individual
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Provider Name | HIREN KIRITKUMAR PATEL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 11200 PROVIDENCE RD W
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City | CHARLOTTE
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State | NC
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Zip | 28277-1535
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Country | US
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Telephone | 704-815-3341
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Fax |
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Provider Business Mailing Address
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Address Line | 12607 CHANTREY WAY
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-0049
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Country | US
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Telephone | 704-290-8611
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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 | 30686
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License Number State | NC
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