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General NPI Number Information
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NPI Number | 1649883745
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Entity Type | Organization
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Legal Business Name | NIRAJ P. PATEL, DDS, LLC
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 10/02/2020
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Provider Practice Location Address
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Address Line | 1311 S MAIN ST STE 203
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City | MOUNT AIRY
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State | MD
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Zip | 21771-5457
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Country | US
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Telephone | 301-829-6550
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Fax | 301-829-3674
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Provider Business Mailing Address
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Address Line | 1311 S MAIN ST STE 203
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City | MOUNT AIRY
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State | MD
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Zip | 21771-5457
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Country | US
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Telephone | 301-829-6550
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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. NIRAJ PRADIP PATEL
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Credential | DDS
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Telephone | 240-472-5647
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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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