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General NPI Number Information
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NPI Number | 1073883864
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Entity Type | Organization
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Legal Business Name | M P DENTISTRY DALLAS PLLC
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 7005 PASTOR BAILEY DR SUITE 100-A
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City | DALLAS
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State | TX
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Zip | 75237-2649
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Country | US
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Telephone | 972-296-1835
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Fax | 817-296-1867
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Provider Business Mailing Address
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Address Line | 7005 PASTOR BAILEY DR SUITE 100-A
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City | DALLAS
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State | TX
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Zip | 75237-2649
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Country | US
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Telephone | 972-296-1835
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Fax | 817-296-1867
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. YOGESH T. PATEL
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Credential | D.D.S.
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Telephone | 214-342-0425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 20147
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License Number State | TX
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