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General NPI Number Information
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NPI Number | 1538955505
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Entity Type | Individual
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Provider Name | MEHUL KRISHANKANT PATEL
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Gender | Male
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 511 E 3RD ST # 260
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City | BETHLEHEM
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State | PA
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Zip | 18015-2072
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Country | US
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Telephone | 484-526-2460
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 N HANCOCK ST
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City | PHILADELPHIA
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State | PA
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Zip | 19123-1651
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Country | US
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Telephone | 570-982-8652
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0
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License Number State | PA
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