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General NPI Number Information
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NPI Number | 1760576110
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Entity Type | Individual
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Provider Name | VINODBHAI N PATEL RPH
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1750 SUNSHADOW DRIVE SUITE 100
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City | CASSELBERRY
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State | FL
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Zip | 32707
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Country | US
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Telephone | 407-696-2885
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Fax | 407-696-4406
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Provider Business Mailing Address
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Address Line | 569 SOUTH LONGVIEW PLACE
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City | LONGWOOD
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State | FL
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Zip | 32779-6021
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Country | US
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Telephone | 407-862-5033
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Fax | 407-696-4406
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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 | PS0027191
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License Number State | FL
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