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General NPI Number Information
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NPI Number | 1942647136
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Entity Type | Individual
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Provider Name | KALPIT R PATEL PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2013
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 1340 DEKALB AVE
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City | SYCAMORE
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State | IL
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Zip | 60178-2750
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Country | US
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Telephone | 815-895-4609
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 LONGFORD RD
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City | BARTLETT
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State | IL
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Zip | 60103-1944
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Country | US
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Telephone |
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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 | 051296198
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 056989
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License Number State | NY
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