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General NPI Number Information
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NPI Number | 1750668679
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Entity Type | Individual
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Provider Name | JINAL PATEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2011
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Last Update Date | 11/06/2011
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Provider Practice Location Address
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Address Line | 7209 W LINCOLN HWY
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City | FRANKFORT
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State | IL
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Zip | 60423-6021
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Country | US
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Telephone | 815-464-8374
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Fax |
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Provider Business Mailing Address
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Address Line | 19123 CREEKSIDE LN
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City | MOKENA
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State | IL
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Zip | 60448-8227
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Country | US
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Telephone | 708-478-1805
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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 | 051-294900
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License Number State | IL
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