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General NPI Number Information
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NPI Number | 1750702247
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Entity Type | Organization
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Legal Business Name | COLLINS, NELSON & PATEL DDS, PLLC
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Dates
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Enumeration Date | 12/30/2013
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Last Update Date | 12/30/2013
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Provider Practice Location Address
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Address Line | 8838 US 70 WEST BUSINESS SUITE 100
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City | CLAYTON
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State | NC
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Zip | 27520
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Country | US
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Telephone | 919-550-8793
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Fax |
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Provider Business Mailing Address
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Address Line | 8838 US 70 WEST BUSINESS SUITE 100
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City | CLAYTON
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State | NC
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Zip | 27520
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Country | US
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Telephone | 919-550-8793
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MANOJ PATEL
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Credential | DMD
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Telephone | 919-550-8793
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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 | 6215
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5991
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7557
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License Number State | NC
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