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General NPI Number Information
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NPI Number | 1063953271
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Entity Type | Individual
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Provider Name | ROSHNI PATEL
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Gender | Female
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 2106 E STATE HIGHWAY 114 STE 300
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6597
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Country | US
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Telephone | 817-552-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 4239 RAWLINS ST APT 9
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City | DALLAS
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State | TX
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Zip | 75219-2721
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Country | US
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Telephone | 915-449-7050
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | S7530
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License Number State | TX
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