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NPI 1962278390

NPI 1962278390 : ANJALI DILIPBHAI PATEL : PORTLAND, OR

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General NPI Number Information
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    NPI Number           |    1962278390
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    Entity Type          |    Individual 
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    Provider Name        |    ANJALI DILIPBHAI PATEL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/28/2023
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    Last Update Date     |    12/29/2025
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Provider Practice Location Address
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    Address Line         |    3550 N INTERSTATE AVE 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97227-1196
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    Country              |    US
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    Telephone            |    866-279-6122
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    345 SW HARRISON ST 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97201-5364
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    Country              |    US
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    Telephone            |    503-327-0234
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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        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    RPH-0019831
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    License Number State |    OR
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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       |    0019831
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    License Number State |    OR
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    85212
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    License Number State |    CA
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