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General NPI Number Information
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NPI Number | 1851109490
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Entity Type | Organization
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Legal Business Name | M J PATEL DDS P.C.
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 3825 FAIRVIEW DR
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City | ANDERSON
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State | IN
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Zip | 46013-4059
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Country | US
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Telephone | 765-649-8118
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Fax | 765-649-8119
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Provider Business Mailing Address
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Address Line | 3825 FAIRVIEW DR
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City | ANDERSON
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State | IN
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Zip | 46013-4059
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Country | US
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Telephone | 765-649-8118
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Fax | 765-649-8119
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Authorized Official
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Title or Position | PRACTICE OWNER - ORAL SURGEON
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Name | DR. MEHUL J PATEL
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Credential | DDS
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Telephone | 805-813-6074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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