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General NPI Number Information
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NPI Number | 1497843403
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Entity Type | Individual
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Provider Name | BRIJESH J PATEL M.D., D.D.S
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 145 PARK LN STE # 110
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City | MOORPARK
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State | CA
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Zip | 93021-2113
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Country | US
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Telephone | 805-532-1331
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Fax | 805-532-1371
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Provider Business Mailing Address
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Address Line | 145 PARK LANE STE # 110
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City | MOORPARK
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State | CA
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Zip | 93021
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Country | US
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Telephone | 805-532-1331
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Fax | 805-532-1371
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | OMS 60
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License Number State | CA
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