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General NPI Number Information
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NPI Number | 1790334266
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Entity Type | Organization
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Legal Business Name | OHM PATEL, DDS, PLLC
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Dates
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Enumeration Date | 09/08/2019
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Last Update Date | 09/08/2019
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Provider Practice Location Address
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Address Line | 9660 FALLS OF NEUSE RD STE 153
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City | RALEIGH
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State | NC
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Zip | 27615-2473
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Country | US
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Telephone | 919-889-6595
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 GROGANS MILL DR
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City | CARY
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State | NC
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Zip | 27519-9472
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Country | US
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Telephone | 919-889-6595
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. OHM M PATEL
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Credential | DDS
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Telephone | 919-889-6595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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