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General NPI Number Information
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NPI Number | 1912180837
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Entity Type | Individual
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Provider Name | VAISHALI K PATEL
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Gender | Female
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 178 NEW HYDE PARK RD
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-3012
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Country | US
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Telephone | 516-775-4294
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Fax | 516-775-0135
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Provider Business Mailing Address
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Address Line | 12 SYCAMORE LN
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-2522
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Country | US
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Telephone | 516-385-2623
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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 | 047400-1
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License Number State | NY
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