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General NPI Number Information
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NPI Number | 1932242732
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Entity Type | Individual
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Provider Name | GIRISH RASIKLAL PATEL REG.PHARMACIST
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Gender | Male
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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 | 105 STEVENS AVE
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City | MT VERNON
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State | NY
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Zip | 10550-2686
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Country | US
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Telephone | 914-664-0300
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Fax | 914-664-0857
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Provider Business Mailing Address
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Address Line | 15 ELMWOOD CT
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City | WESTBURY
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State | NY
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Zip | 11590-1007
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Country | US
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Telephone | 516-997-5798
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Fax | 914-664-0857
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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 | 033494-1
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License Number State | NY
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