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General NPI Number Information
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NPI Number | 1073937090
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Entity Type | Organization
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Legal Business Name | INPATIENT GROUP OF GRAPEVINE MD PA
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Dates
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Enumeration Date | 02/11/2014
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 1650 W COLLEGE ST # 57
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City | GRAPEVINE
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State | TX
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Zip | 76051-3565
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Country | US
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Telephone | 214-770-1182
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Fax | 877-824-7861
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Provider Business Mailing Address
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Address Line | 5405 GRASMERE DR
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City | PLANO
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State | TX
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Zip | 75093-2835
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Country | US
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Telephone | 214-770-1182
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/DIRECTOR
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Name | DR. SANJAY B. PATEL
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Credential | MEDICAL DOCTOR
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Telephone | 214-770-1182
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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 | L2536
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License Number State | TX
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