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General NPI Number Information
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NPI Number | 1689490682
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Entity Type | Individual
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Provider Name | DR. BHAVINA PATEL
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Gender | Female
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 813 PROVIDENCE RD STE 1
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City | CHARLOTTE
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State | NC
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Zip | 28207-2227
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Country | US
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Telephone | 843-542-7662
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 SELMA DR
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City | WESLEY CHAPEL
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State | NC
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Zip | 28104-5629
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Country | US
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Telephone |
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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 | 24386
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License Number State | NC
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