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General NPI Number Information
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NPI Number | 1720369309
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Entity Type | Individual
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Provider Name | BIJAL PATEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 101 PROMINENCE POINT PKWY
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City | CANTON
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State | GA
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Zip | 30114-9009
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Country | US
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Telephone | 770-704-4045
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Fax |
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Provider Business Mailing Address
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Address Line | 5940 HARTWELL CT
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City | CUMMING
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State | GA
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Zip | 30040-9764
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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 | PS47220
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License Number State | FL
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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 | 33793
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH027421
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License Number State | GA
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