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General NPI Number Information
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NPI Number | 1003617622
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Entity Type | Individual
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Provider Name | ADARA JADE PATEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 2001 N MACARTHUR BLVD STE 425
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City | IRVING
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State | TX
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Zip | 75061-2299
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Country | US
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Telephone | 469-800-1330
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Fax |
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Provider Business Mailing Address
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Address Line | 7404 KIMBLE CT
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City | MONTGOMERY
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State | TX
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Zip | 77316-3029
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Country | US
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Telephone | 713-419-7222
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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