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General NPI Number Information
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NPI Number | 1932513157
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Entity Type | Individual
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Provider Name | HIREN MAHESHKUMAR PATEL DMD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 1017 E OLDE VIRGINIA RD
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City | PALATINE
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State | IL
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Zip | 60074-8771
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Country | US
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Telephone | 224-577-5742
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Fax |
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Provider Business Mailing Address
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Address Line | 1017 E OLDE VIRGINIA RD
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City | PALATINE
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State | IL
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Zip | 60074-8771
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Country | US
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Telephone | 224-577-5742
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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 | 019029817
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License Number State | IL
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