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General NPI Number Information
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NPI Number | 1760084859
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Entity Type | Individual
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Provider Name | JIGNESHKUMAR PATEL DOCTOR OF PHARMACY
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Gender | Male
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 585 N STATE ST
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City | LINDON
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State | UT
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Zip | 84042-1339
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Country | US
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Telephone | 801-785-7683
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Fax |
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Provider Business Mailing Address
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Address Line | 11489 S ALTA LOMA LN
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-1265
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Country | US
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Telephone | 732-397-0902
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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 | 8777229-1701
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License Number State | UT
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