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General NPI Number Information
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NPI Number | 1871189951
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Entity Type | Individual
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Provider Name | DIMPLE D PATEL PSYD
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Gender | Female
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 1386 WHITE OAK LN
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City | WEST CHICAGO
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State | IL
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Zip | 60185-5957
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Country | US
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Telephone | 630-440-0501
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Fax |
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Provider Business Mailing Address
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Address Line | 75 EXECUTIVE DR STE 403
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City | AURORA
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State | IL
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Zip | 60504-8112
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Country | US
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Telephone | 630-448-8000
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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