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General NPI Number Information
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NPI Number | 1730624974
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Entity Type | Organization
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Legal Business Name | HETAL PATEL DDS PC
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Dates
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Enumeration Date | 12/26/2016
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5568 BECKLEY RD SUITE 6
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City | BATTLE CREEK
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State | MI
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Zip | 49015-4199
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Country | US
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Telephone | 269-979-9248
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Fax |
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Provider Business Mailing Address
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Address Line | 5568 BECKLEY RD SUITE 6
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City | BATTLE CREEK
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State | MI
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Zip | 49015-4199
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Country | US
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Telephone | 269-979-9248
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HETAL S PATEL
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Credential | D.D.S
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Telephone | 269-979-9248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 22901020257
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License Number State | MI
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