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General NPI Number Information
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NPI Number | 1518818335
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Entity Type | Organization
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Legal Business Name | SHIVALI PATEL DDS PC
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 1818 SAN MIGUEL DR
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City | WALNUT CREEK
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State | CA
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Zip | 94596-8606
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Country | US
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Telephone | 925-945-7366
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Fax |
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Provider Business Mailing Address
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Address Line | 482 TRILLIUM CT
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City | FAIRFIELD
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State | CA
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Zip | 94534-6933
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHIVALI PATEL
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Credential | DDS
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Telephone | 716-292-9031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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