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General NPI Number Information
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NPI Number | 1043994155
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Entity Type | Individual
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Provider Name | SARANYA SUNDARAM PATEL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 6080 N CENTRAL EXPY # 125
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City | DALLAS
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State | TX
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Zip | 75206-5202
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Country | US
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Telephone | 469-646-6796
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Fax |
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Provider Business Mailing Address
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Address Line | 10744 MANUEL ST
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City | FRISCO
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State | TX
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Zip | 75035-0965
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Country | US
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Telephone | 903-267-2569
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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 | 103T00000X
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Taxonomy Name | Psychologist
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 39656
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License Number State | TX
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