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General NPI Number Information
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NPI Number | 1508072497
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Entity Type | Individual
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Provider Name | RASOOL PATEL II DDS
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 12504 W WASHINGTON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90066-5506
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Country | US
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Telephone | 310-390-6272
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Fax | 310-390-6674
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Provider Business Mailing Address
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Address Line | 2040 255TH ST
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City | LOMITA
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State | CA
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Zip | 90717-2614
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Country | US
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Telephone | 310-367-7231
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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 | 33374
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License Number State | CA
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