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NPI 1922270552

NPI 1922270552 : DR JC PATEL & ASSOCIATES : POTTSTOWN, PA

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General NPI Number Information
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    NPI Number           |    1922270552
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR JC PATEL & ASSOCIATES 
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Dates
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    Enumeration Date     |    03/24/2008
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    Last Update Date     |    03/24/2008
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Provider Practice Location Address
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    Address Line         |    620 E HIGH ST 
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    City                 |    POTTSTOWN
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    State                |    PA
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    Zip                  |    19464-5782
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    Country              |    US
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    Telephone            |    610-323-7086
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    Fax                  |    610-323-3834
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Provider Business Mailing Address
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    Address Line         |    620 E HIGH ST 
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    City                 |    POTTSTOWN
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    State                |    PA
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    Zip                  |    19464-5782
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    Country              |    US
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    Telephone            |    610-323-7086
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    Fax                  |    610-323-3834
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Authorized Official
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    Title or Position    |    DDS, OFFICER
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    Name                 |    DR. JIVAN  PATEL 
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    Credential           |    
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    Telephone            |    610-323-7086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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