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General NPI Number Information
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NPI Number | 1689952087
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Entity Type | Individual
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Provider Name | NEHA DIPAKKUMAR PATEL DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 2248 E 53RD ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3479
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Country | US
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Telephone | 317-614-0843
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Fax |
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Provider Business Mailing Address
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Address Line | 3723 76TH STREET CT
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City | MOLINE
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State | IL
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Zip | 61265-8053
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Country | US
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Telephone | 563-650-8123
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 12012097A
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License Number State | IN
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