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General NPI Number Information
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NPI Number | 1639693237
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Entity Type | Individual
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Provider Name | HARSHIL V PATEL DMD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 07/26/2017
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Provider Practice Location Address
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Address Line | 727 RIDGEVIEW DR
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City | MCHENRY
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State | IL
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Zip | 60050-7054
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Country | US
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Telephone | 815-847-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 1540 DEMPSTER ST APT 310
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City | MT PROSPECT
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State | IL
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Zip | 60056-4943
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Country | US
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Telephone | 224-345-1332
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019031282
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License Number State | IL
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