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General NPI Number Information
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NPI Number | 1831683077
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Entity Type | Individual
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Provider Name | MEHULBHAI J PATEL
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Gender | Male
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 1725 E SANTA FE ST
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City | GARDNER
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State | KS
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Zip | 66030-1657
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Country | US
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Telephone | 913-884-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 4853 W 157TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66224-3811
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Country | US
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Telephone | 913-633-7101
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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 | 1-14750
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License Number State | KS
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