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NPI 1538480645

NPI 1538480645 : SANGATI PATEL : EL CENTRO, CA

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General NPI Number Information
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    NPI Number           |    1538480645
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    Entity Type          |    Individual 
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    Provider Name        |    SANGATI PATEL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/13/2010
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    Last Update Date     |    09/09/2015
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Provider Practice Location Address
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    Address Line         |    325 WAKE AVE 
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    City                 |    EL CENTRO
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    State                |    CA
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    Zip                  |    92243-9651
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    Country              |    US
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    Telephone            |    760-592-4542
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    Fax                  |    760-592-4813
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Provider Business Mailing Address
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    Address Line         |    325 WAKE AVE 
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    City                 |    EL CENTRO
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    State                |    CA
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    Zip                  |    92243-9651
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    Country              |    US
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    Telephone            |    760-592-4542
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    Fax                  |    760-592-4813
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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       |    58978
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    License Number State |    CA
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