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General NPI Number Information
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NPI Number | 1720488034
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Entity Type | Individual
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Provider Name | CHANDNI PATEL
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Gender | Female
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Dates
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Enumeration Date | 08/25/2014
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Last Update Date | 01/30/2022
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Provider Practice Location Address
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Address Line | 1145 FORESTDALE BLVD
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City | BIRMINGHAM
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State | AL
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Zip | 35214-3833
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Country | US
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Telephone | 205-968-1980
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CHESTNUT LN
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City | HAYDEN
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State | AL
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Zip | 35079-5967
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Country | US
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Telephone | 256-590-1059
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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 | 17856
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License Number State | AL
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