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General NPI Number Information
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NPI Number | 1821982216
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Entity Type | Individual
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Provider Name | HENIL PATEL DMD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 2101 S RIVERSIDE DR
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City | BELOIT
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State | WI
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Zip | 53511-2932
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Country | US
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Telephone | 608-975-5375
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Fax |
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Provider Business Mailing Address
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Address Line | 961 SANDALWOOD CT
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City | BARTLETT
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State | IL
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Zip | 60103-5137
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Country | US
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Telephone | 224-241-1994
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019036085
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 600184015
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License Number State | WI
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