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General NPI Number Information
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NPI Number | 1942764931
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Entity Type | Individual
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Provider Name | SONAL PATEL RPH
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Gender | Female
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 2395 PEACHTREE PKWY
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City | CUMMING
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State | GA
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Zip | 30041-7227
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Country | US
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Telephone | 770-406-5165
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Fax |
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Provider Business Mailing Address
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Address Line | 200 LEE INDUSTRIAL BLVD APT 171
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City | AUSTELL
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State | GA
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Zip | 30168-7438
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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 | RPH023626
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License Number State | GA
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