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General NPI Number Information
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NPI Number | 1962846402
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Entity Type | Organization
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Legal Business Name | MITUL V. PATEL, DDS, PC
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Dates
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Enumeration Date | 04/27/2013
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Last Update Date | 04/27/2013
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Provider Practice Location Address
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Address Line | 774 WHITE PLAINS RD SUITE 250
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City | SCARSDALE
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State | NY
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Zip | 10583-5030
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Country | US
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Telephone | 914-472-3400
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Fax | 914-723-3406
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Provider Business Mailing Address
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Address Line | 774 WHITE PLAINS RD SUITE 250
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City | SCARSDALE
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State | NY
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Zip | 10583-5030
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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 | OWNER
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Name | DR. MITUL V PATEL
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Credential | D.D.S.
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Telephone | 914-472-3400
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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 | 052791
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License Number State | NY
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