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Individual
VIMAL PATEL
Active
Individual
VIMAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, CCN, CAD, DIHOM
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
605
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
605
—
101YP2500X
Professional Counselor
605
—
132700000X
Dietary Manager
3130
—
133NN1002X
Nutrition Education Nutritionist
3130
—
174400000X
Specialist
3130
—
175L00000X
Homeopath
—
—
183500000X
Pharmacist
9492
AZ
183500000X
Pharmacist
Primary
S009492
AZ
1835N1003X
Nutrition Support Pharmacist
9492
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S009492
STATE BOARD OF PHARMACY
AZ
Enumeration date
04/16/2007
Last updated
11/13/2020
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