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General NPI Number Information
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NPI Number | 1902949779
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Entity Type | Individual
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Provider Name | MANISHA M PATEL PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9037 SPRINGFIELD BLVD
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-1352
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Country | US
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Telephone | 718-464-4844
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Fax | 718-464-9835
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Provider Business Mailing Address
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Address Line | 23 THORNWOOD DR
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City | DIX HILLS
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State | NY
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Zip | 11746-6441
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Country | US
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Telephone | 631-586-2082
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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 | 037200
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License Number State | NY
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