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General NPI Number Information
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NPI Number | 1053931220
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Entity Type | Individual
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Provider Name | KEVAN PATEL DPM
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Gender | Male
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 3143 HIGHWAY 6
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City | SUGAR LAND
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State | TX
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Zip | 77478-4367
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Country | US
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Telephone | 281-980-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 GASTON AVE STE 330
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City | DALLAS
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State | TX
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Zip | 75246-1500
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Country | US
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Telephone | 972-853-4886
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 692049
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License Number State | TX
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