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General NPI Number Information
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NPI Number | 1730710120
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Entity Type | Individual
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Provider Name | DHRUMILKUMAR D PATEL PHARM D
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Gender | Male
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 1401 N TRENTON ST
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City | RUSTON
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State | LA
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Zip | 71270-2325
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Country | US
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Telephone | 873-854-8731
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Fax |
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Provider Business Mailing Address
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Address Line | 1535 RIVER PARKWAY BLVD APT 907
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City | SHREVEPORT
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State | LA
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Zip | 71104-1811
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Country | US
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Telephone | 973-216-6541
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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 | PST.023026
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License Number State | LA
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