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General NPI Number Information
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NPI Number | 1831611193
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Entity Type | Individual
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Provider Name | PRERANA V PATEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/08/2017
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Last Update Date | 07/08/2017
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Provider Practice Location Address
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Address Line | 4246 ALBANY POST RD
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City | HYDE PARK
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State | NY
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Zip | 12538-1700
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Country | US
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Telephone | 845-229-2224
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WESTMINSTER BLVD APT I
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-2319
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Country | US
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Telephone | 630-888-2883
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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 | 62227-I
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License Number State | NY
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