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General NPI Number Information
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NPI Number | 1851966147
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Entity Type | Individual
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Provider Name | JINAL PATEL DMD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 41940 W MARICOPA CASA GRANDE HWY STE 120
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City | MARICOPA
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State | AZ
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Zip | 85138-3239
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Country | US
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Telephone | 520-589-2919
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Fax |
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Provider Business Mailing Address
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Address Line | 730 RIVERSIDE DR APT 218
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City | TOLEDO
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State | OH
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Zip | 43605-5610
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Country | US
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Telephone | 601-701-5219
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4234-21
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D012064
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License Number State | AZ
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