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NPI 1891083200

NPI 1891083200 : AMRITA ROHIT PATEL DDS : CHAPPAQUA, NY

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General NPI Number Information
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    NPI Number           |    1891083200
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    Entity Type          |    Individual 
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    Provider Name        |    AMRITA ROHIT PATEL DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/19/2011
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    Last Update Date     |    05/21/2019
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Provider Practice Location Address
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    Address Line         |    46 HOLLOW OAK RD 
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    City                 |    CHAPPAQUA
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    State                |    NY
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    Zip                  |    10514-3530
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    Country              |    US
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    Telephone            |    914-486-1010
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    350 W 42ND ST APT 28A 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10036-6957
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    056194
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    License Number State |    NY
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