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NPI 1104409507

NPI 1104409507 : KABIR PATEL PLLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1104409507
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    Entity Type          |    Organization 
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    Legal Business Name  |    KABIR PATEL PLLC 
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Dates
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    Enumeration Date     |    05/03/2021
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    Last Update Date     |    04/30/2023
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Provider Practice Location Address
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    Address Line         |    1939 NE LOOP 410 STE 240 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78217-5327
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    Country              |    US
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    Telephone            |    210-590-2736
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1939 NE LOOP 410 STE 240 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78217-5327
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    Country              |    US
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    Telephone            |    210-590-2736
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     HIREN  PATEL 
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    Credential           |    DDS
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    Telephone            |    210-590-2736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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