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General NPI Number Information
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NPI Number | 1669120218
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Entity Type | Individual
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Provider Name | RIA PATEL DDS
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Gender | Female
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 1203 SALEM AVE
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City | DAYTON
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State | OH
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Zip | 45406-5044
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Country | US
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Telephone | 937-275-7448
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Fax |
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Provider Business Mailing Address
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Address Line | 2567 SPYGLASS DR
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City | OAKLAND
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State | MI
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Zip | 48363-2463
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Country | US
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Telephone | 248-884-2355
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.026592
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License Number State | OH
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