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General NPI Number Information
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NPI Number | 1639355852
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Entity Type | Organization
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Legal Business Name | HARSHITA PATEL DENTAL CORPORATION
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 08/14/2015
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Provider Practice Location Address
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Address Line | 640 E ALVIN DR STE A
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City | SALINAS
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State | CA
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Zip | 93906-3055
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Country | US
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Telephone | 831-443-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 640 E ALVIN DR STE A
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City | SALINAS
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State | CA
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Zip | 93906-3055
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | HARSHITA PATEL
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Credential | DDS
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Telephone | 831-443-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | B45748-01
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License Number State | CA
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