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General NPI Number Information
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NPI Number | 1861625154
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Entity Type | Organization
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Legal Business Name | SNEHAL PATEL, DDS, MD
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 9010 LORTON STATION BLVD SUITE 140
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City | LORTON
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State | VA
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Zip | 22079-4792
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Country | US
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Telephone | 703-436-4633
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Fax | 703-372-1210
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Provider Business Mailing Address
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Address Line | 604 BEULAH RD NE
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City | VIENNA
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State | VA
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Zip | 22180-3511
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Country | US
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Telephone | 347-886-2844
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Fax | 703-263-3148
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Authorized Official
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Title or Position | OWNER
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Name | DR. SNEHAL PATEL
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Credential | DDS, MD
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Telephone | 347-886-2844
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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 | 0401411948
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License Number State | VA
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