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General NPI Number Information
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NPI Number | 1710135447
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Entity Type | Individual
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Provider Name | MINESH CHANDRAKANT PATEL R.PH
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Gender | Male
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Dates
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Enumeration Date | 09/06/2008
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Last Update Date | 09/06/2008
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Provider Practice Location Address
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Address Line | 5105 CHURCH AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-3511
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Country | US
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Telephone | 718-240-9924
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Fax |
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Provider Business Mailing Address
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Address Line | 19 S LEXOW AVE
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City | NANUET
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State | NY
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Zip | 10954-3234
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Country | US
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Telephone | 845-398-8163
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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 | 031167
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 052327
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License Number State | NY
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