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General NPI Number Information
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NPI Number | 1043506215
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Entity Type | Individual
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Provider Name | KRUTI PATEL DAJEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2011
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 2745 VIRGINIA PKWY STE 300
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City | MCKINNEY
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State | TX
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Zip | 75071-4915
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Country | US
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Telephone | 469-343-4231
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Fax |
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Provider Business Mailing Address
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Address Line | 2745 VIRGINIA PKWY STE 300
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City | MCKINNEY
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State | TX
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Zip | 75071-4915
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Country | US
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Telephone | 469-343-4231
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | Q4079
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | Q4079
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License Number State | TX
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