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General NPI Number Information
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NPI Number | 1033288451
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Entity Type | Individual
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Provider Name | TANIA PURKAYASTHA MD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 1600 W COLLEGE ST STE 130
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City | GRAPEVINE
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State | TX
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Zip | 76051-3575
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Country | US
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Telephone | 214-689-7806
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Fax | 214-689-5970
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Provider Business Mailing Address
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Address Line | 1600 W COLLEGE ST STE 130
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City | GRAPEVINE
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State | TX
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Zip | 76051-3575
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Country | US
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Telephone | 214-689-7806
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Fax | 214-689-5970
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 228749
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | N2253
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License Number State | TX
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