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General NPI Number Information
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NPI Number | 1548687247
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Entity Type | Individual
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Provider Name | CHIRAG D PATEL RPH
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Gender | Male
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 25 LOCUST AVENUE
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City | WALLINGTON
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State | NJ
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Zip | 07057-2102
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Country | US
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Telephone | 973-777-4717
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Fax | 973-777-4719
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Provider Business Mailing Address
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Address Line | 168 LEE ST
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-2211
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Country | US
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Telephone | 862-215-5208
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI02998600
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License Number State | NJ
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