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General NPI Number Information
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NPI Number | 1922392570
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Entity Type | Individual
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Provider Name | JIGNESH RANJIT PATEL R.PH
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Gender | Male
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 08/19/2013
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Provider Practice Location Address
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Address Line | 5918 STONERIDGE MALL RD
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City | PLEASANTON
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State | CA
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Zip | 94588-3229
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Country | US
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Telephone | 916-555-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 8809 CHESTNUT CT
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City | ROSEVILLE
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State | CA
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Zip | 95747-6367
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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 | 55198
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License Number State | CA
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