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General NPI Number Information
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NPI Number | 1922792324
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Entity Type | Individual
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Provider Name | UTKARSH PATEL
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Gender | Male
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 344 E 6TH ST
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City | MADERA
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State | CA
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Zip | 93638-3631
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Country | US
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Telephone | 559-664-4000
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Fax | 559-479-4812
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Provider Business Mailing Address
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Address Line | 18957 SECRETARIAT WAY
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City | YORBA LINDA
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State | CA
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Zip | 92886-2660
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Country | US
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Telephone | 682-777-1224
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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 | 111982
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License Number State | CA
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