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General NPI Number Information
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NPI Number | 1821312828
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Entity Type | Individual
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Provider Name | PRAGNA BHUPENDRA PATEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 1695 EASTCHESTER RD
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City | BRONX
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State | NY
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Zip | 10461-2374
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Country | US
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Telephone | 718-405-8510
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Fax | 718-405-8511
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Provider Business Mailing Address
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Address Line | 132 W CLARKSTOWN RD
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City | NEW CITY
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State | NY
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Zip | 10956-1558
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Country | US
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Telephone | 845-634-8642
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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 | 040805-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 040805-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 040805-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 040805-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 040805-1
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License Number State | NY
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