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General NPI Number Information
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NPI Number | 1659044063
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Entity Type | Individual
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Provider Name | DHRUV B PATEL DMD
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Gender | Male
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 728 HERLONG AVE
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City | ROCK HILL
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State | SC
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Zip | 29732-1925
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Country | US
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Telephone | 678-907-0904
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Fax |
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Provider Business Mailing Address
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Address Line | 728 HERLONG AVE
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City | ROCK HILL
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State | SC
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Zip | 29732-1925
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Country | US
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Telephone | 678-907-0904
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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 | 13822
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN122398
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9972
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License Number State | SC
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