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General NPI Number Information
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NPI Number | 1770624876
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Entity Type | Individual
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Provider Name | CHATTAN MAGANBHAI PATEL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 652 E. LAUREL DR. SUITE C
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City | SALINAS
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State | CA
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Zip | 93906
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Country | US
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Telephone | 831-775-0280
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Fax | 831-775-0279
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Provider Business Mailing Address
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Address Line | 10850 CHURCH ST APT W205
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8016
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Country | US
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Telephone | 909-948-2745
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Fax | 909-948-2745
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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 | 43230
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License Number State | CA
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