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General NPI Number Information
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NPI Number | 1811417967
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Entity Type | Individual
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Provider Name | REEMA PATEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 1440 EMPIRE CENTRAL DR STE LD1.322
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City | DALLAS
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State | TX
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Zip | 75247-4091
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Country | US
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Telephone | 469-291-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 116 S 14TH ST
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City | PONCA CITY
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State | OK
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Zip | 74601-5653
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Country | US
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Telephone |
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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 | 62043
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16264
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License Number State | OK
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