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General NPI Number Information
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NPI Number | 1992294805
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Entity Type | Organization
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Legal Business Name | DR PATEL & ASSOCIATES, PA
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 6046 W HIGHWAY 74
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City | INDIAN TRAIL
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State | NC
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Zip | 28079
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Country | US
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Telephone | 704-893-8126
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Fax |
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Provider Business Mailing Address
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Address Line | 1041 LAKE FOREST DR
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City | WEDDINGTON
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State | NC
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Zip | 28104-7411
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Country | US
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Telephone | 732-829-7130
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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. HARISH PATEL
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Credential | DMD
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Telephone | 704-893-8126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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