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General NPI Number Information
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NPI Number | 1942508551
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Entity Type | Organization
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Legal Business Name | NIKHILKUMAR M PATEL DMD PC
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Dates
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Enumeration Date | 03/05/2011
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Last Update Date | 03/05/2011
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Provider Practice Location Address
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Address Line | 130 LINCOLN ST
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City | WORCESTER
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State | MA
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Zip | 01605-2430
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Country | US
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Telephone | 508-756-5141
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Fax |
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Provider Business Mailing Address
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Address Line | 64 ODONNELL AVE
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City | SHREWSBURY
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State | MA
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Zip | 01545-8122
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Country | US
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Telephone | 508-756-5141
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NIKHILKUMAR M PATEL
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Credential | DMD
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Telephone | 508-756-5141
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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 | 017721
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License Number State | MA
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