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General NPI Number Information
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NPI Number | 1700405917
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Entity Type | Individual
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Provider Name | NEIL PATEL PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 1128 TOWER LN
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City | BENSENVILLE
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State | IL
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Zip | 60106-1028
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Country | US
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Telephone | 312-415-6152
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Fax | 401-652-0513
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Provider Business Mailing Address
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Address Line | 34 DEERFIELD DR
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City | HAWTHORN WOODS
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State | IL
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Zip | 60047-6508
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Country | US
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Telephone | 312-415-6152
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Fax | 401-652-0513
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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 | 051.291957
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License Number State | IL
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