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General NPI Number Information
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NPI Number | 1033841481
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Entity Type | Individual
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Provider Name | DISHABEN PATEL OD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 2215 S LOOP 288 STE 334
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City | DENTON
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State | TX
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Zip | 76205-4984
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Country | US
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Telephone | 940-484-7258
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Fax |
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Provider Business Mailing Address
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Address Line | 2709 ENID DR
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City | PLANO
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State | TX
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Zip | 75093-1908
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Country | US
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Telephone | 347-523-0572
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10632TG
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License Number State | TX
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