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General NPI Number Information
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NPI Number | 1700171170
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Entity Type | Individual
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Provider Name | NILA DIPEN PATEL RPH
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Gender | Female
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 274 N MAIN ST
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City | MOORESVILLE
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State | NC
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Zip | 28115-2528
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Country | US
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Telephone | 704-664-3469
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Fax | 704-664-5596
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Provider Business Mailing Address
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Address Line | 138 NORMAN STATION BLVD
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City | MOORESVILLE
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State | NC
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Zip | 28117-6396
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Country | US
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Telephone | 704-664-6556
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Fax | 704-664-1662
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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 | 13976
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License Number State | NC
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