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General NPI Number Information
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NPI Number | 1871865501
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Entity Type | Individual
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Provider Name | REEMA MEHTA PATEL PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2012
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 678 N WELLS ST
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City | CHICAGO
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State | IL
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Zip | 60654-3717
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Country | US
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Telephone | 312-255-0425
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Fax |
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Provider Business Mailing Address
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Address Line | 421 W HURON ST APT 1405
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City | CHICAGO
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State | IL
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Zip | 60654-3962
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051292085
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License Number State | IL
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