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General NPI Number Information
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NPI Number | 1639772221
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Entity Type | Individual
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Provider Name | AMIT PATEL PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 69 W WASHINGTON ST LOWR LL09
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City | CHICAGO
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State | IL
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Zip | 60602-3136
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Country | US
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Telephone | 312-629-1621
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Fax | 312-629-1690
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Provider Business Mailing Address
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Address Line | 475 STRATFORD RD
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City | DES PLAINES
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State | IL
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Zip | 60016-2003
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Country | US
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Telephone | 847-644-1544
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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 | 051289468
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License Number State | IL
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