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General NPI Number Information
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NPI Number | 1487958872
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Entity Type | Individual
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Provider Name | TARUN R PATEL R.PH.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2010
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 60 LAUREL HILL RD
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City | BRANFORD
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State | CT
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Zip | 06405-2408
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Country | US
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Telephone | 203-641-3102
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Fax |
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Provider Business Mailing Address
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Address Line | 2204 COURT NORTH DR
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City | MELVILLE
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State | NY
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Zip | 11747-8121
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Country | US
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Telephone | 631-694-9176
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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 | 051066-1
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License Number State | NY
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