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General NPI Number Information
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NPI Number | 1750371514
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Entity Type | Individual
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Provider Name | RINA NAVINCHANDRA PATEL D.D.S
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Gender | Female
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2680 BELVIDERE RD
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City | WAUKEGAN
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State | IL
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Zip | 60085-6006
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Country | US
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Telephone | 847-360-3045
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Fax | 847-360-0597
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Provider Business Mailing Address
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Address Line | 915 N COUNTRYSIDE DR #120
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City | PALATINE
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State | IL
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Zip | 60067-1977
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Country | US
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Telephone | 847-358-6014
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Fax | 847-358-6014
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 21328
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | IL
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