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General NPI Number Information
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NPI Number | 1841692175
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Entity Type | Individual
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Provider Name | DHRUV ROHITKUMAR PATEL PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 42010 WASHINGTON ST
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City | BERMUDA DUNES
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State | CA
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Zip | 92203-9610
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Country | US
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Telephone | 760-772-9122
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Fax |
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Provider Business Mailing Address
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Address Line | 47750 ADAMS ST APT 1126
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City | LA QUINTA
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State | CA
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Zip | 92253-7101
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Country | US
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Telephone | 317-410-0193
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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 | 71394
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License Number State | CA
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