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General NPI Number Information
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NPI Number | 1861957243
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Entity Type | Individual
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Provider Name | DARSHAN PATEL DMD
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Gender | Male
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Dates
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Enumeration Date | 02/09/2019
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 201 W INTERNATIONAL SPEEDWAY BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4313
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Country | US
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Telephone | 386-258-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 PELHAM PKWY S
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City | BRONX
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State | NY
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Zip | 10461-1197
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Country | US
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Telephone |
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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 | DN24169
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License Number State | FL
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