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General NPI Number Information
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NPI Number | 1932412780
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Entity Type | Individual
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Provider Name | DHRUVI N PATEL O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 17213 COLE RD STE 17233
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6981
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Country | US
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Telephone | 240-329-4699
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Fax |
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Provider Business Mailing Address
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Address Line | 17213 COLE ROAD STE 17233
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City | HAGERSTOWN
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State | MD
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Zip | 21740
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Country | US
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Telephone | 240-329-4699
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2194
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License Number State | MD
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