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General NPI Number Information
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NPI Number | 1932394806
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Entity Type | Individual
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Provider Name | SHEFALI V PATEL DMD
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Gender | Female
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 1035 W RAMSEY ST SUITE B-2
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City | BANNING
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State | CA
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Zip | 92220-4400
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Country | US
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Telephone | 714-322-5021
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Fax | 714-398-8026
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Provider Business Mailing Address
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Address Line | 1240 BORDER AVE SUITE B-2
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City | CORONA
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State | CA
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Zip | 92882-3801
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Country | US
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Telephone | 951-595-8007
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Fax | 951-595-8007
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 56240
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License Number State | CA
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