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General NPI Number Information
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NPI Number | 1821275199
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Entity Type | Individual
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Provider Name | PRITIBEN MOHAN PATEL PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 263 WINDING HOLLOW BLVD STE 1005
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4035
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Country | US
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Telephone | 610-834-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 1472 VIA SANGRO PL
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City | WINTER PARK
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State | FL
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Zip | 32792-6243
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Country | US
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Telephone | 407-617-6738
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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 | 53409
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License Number State | CA
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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 | 9572
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS41213
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License Number State | FL
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