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General NPI Number Information
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NPI Number | 1568024248
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Entity Type | Individual
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Provider Name | KAVIN MAHESH PATEL
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Gender | Male
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Dates
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Enumeration Date | 07/02/2019
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 99 DOCTORS DR
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City | MUNFORD
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State | TN
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Zip | 38058-6305
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Country | US
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Telephone | 901-840-1998
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 HIGHWAY 51 N
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City | COVINGTON
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State | TN
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Zip | 38019-6000
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Country | US
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Telephone | 901-490-3776
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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 | 43275
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License Number State | TN
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