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General NPI Number Information
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NPI Number | 1972912491
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Entity Type | Individual
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Provider Name | NAYAN PATEL
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Gender | Male
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 2630 US HIGHWAY 92 E
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City | LAKELAND
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State | FL
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Zip | 33801-2654
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Country | US
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Telephone | 863-688-9221
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Fax |
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Provider Business Mailing Address
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Address Line | 7791 GATEWAY LN
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City | POWELL
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State | OH
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Zip | 43065-7198
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Country | US
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Telephone | 614-395-5408
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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 | 045721
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License Number State | NY
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