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General NPI Number Information
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NPI Number | 1790800241
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Entity Type | Individual
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Provider Name | RASHMIKANT R. PATEL B.D.S., M.D.SC.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 168 BLANDING BLVD SUITE 4 A-1 DENTAL CARE, INC.
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City | ORANGE PARK
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State | FL
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Zip | 32073-3371
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Country | US
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Telephone | 904-276-5143
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Fax | 904-276-2737
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Provider Business Mailing Address
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Address Line | 168 BLANDING BLVD 4
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City | ORANGE PARK
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State | FL
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Zip | 32073-3342
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Country | US
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Telephone | 904-276-5143
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Fax | 904-276-2737
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN10867
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License Number State | FL
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