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General NPI Number Information
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NPI Number | 1598475253
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Entity Type | Organization
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Legal Business Name | BIJAL PATEL D.D.S., P.L.L.C.
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Dates
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Enumeration Date | 12/02/2022
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 4605 HYLAS LN STE C
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-9657
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Country | US
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Telephone | 704-286-8886
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Fax |
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Provider Business Mailing Address
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Address Line | 4020 WILLOW GREEN PL
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City | CHARLOTTE
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State | NC
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Zip | 28206-1477
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Country | US
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Telephone | 318-730-4333
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. BIJAL PATEL
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Credential | DDS
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Telephone | 318-730-4333
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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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