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General NPI Number Information
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NPI Number | 1942183793
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Entity Type | Individual
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Provider Name | SHIV HITENDRA PATEL RPH
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Gender | Male
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 5412 E VILLAGE RD
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City | LONG BEACH
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State | CA
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Zip | 90808-1698
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Country | US
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Telephone | 562-425-6434
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Fax |
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Provider Business Mailing Address
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Address Line | 1402 W 14TH ST
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City | UPLAND
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State | CA
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Zip | 91786-2521
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Country | US
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Telephone | 909-851-0725
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 90628
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License Number State | CA
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