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General NPI Number Information
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NPI Number | 1023219623
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Entity Type | Individual
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Provider Name | SHITEL DINESHBHAI PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 210 GENESIS BLVD # B
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City | WEBSTER
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State | TX
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Zip | 77598-1636
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Country | US
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Telephone | 832-835-1131
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Fax | 832-918-3223
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Provider Business Mailing Address
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Address Line | 210 GENESIS BLVD # B
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City | WEBSTER
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State | TX
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Zip | 77598-1636
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Country | US
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Telephone | 832-835-1131
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Fax | 832-918-3223
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | P7832
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License Number State | TX
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