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General NPI Number Information
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NPI Number | 1851224919
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Entity Type | Individual
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Provider Name | SHRADDHA PATEL DDS
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Gender | Female
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 750 S POTOMAC ST
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City | WAYNESBORO
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State | PA
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Zip | 17268-2198
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Country | US
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Telephone | 848-247-8938
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Fax |
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Provider Business Mailing Address
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Address Line | 58 STONY RD W
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City | EDISON
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State | NJ
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Zip | 08817-3239
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Country | US
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Telephone | 740-430-1098
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Fax | 848-247-8938
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS045729
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License Number State | PA
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