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NPI 1831353135

NPI 1831353135 : JIGNASA PATEL : AURORA, IL

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General NPI Number Information
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    NPI Number           |    1831353135
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    Entity Type          |    Individual 
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    Provider Name        |    JIGNASA PATEL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/15/2008
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    Last Update Date     |    07/15/2008
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Provider Practice Location Address
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    Address Line         |    4200 CASTLE ROCK CIR 
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    City                 |    AURORA
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    State                |    IL
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    Zip                  |    60504-8414
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    Country              |    US
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    Telephone            |    708-473-9215
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    Fax                  |    708-786-4490
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Provider Business Mailing Address
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    Address Line         |    4200 CASTLE ROCK CIR 
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    City                 |    AURORA
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    State                |    IL
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    Zip                  |    60504-8414
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    Country              |    US
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    Telephone            |    630-386-5247
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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       |    051.040773
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    License Number State |    IL
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