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General NPI Number Information
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NPI Number | 1114202595
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Entity Type | Organization
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Legal Business Name | PRIYA'S INNOVATION, LLC
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 3401 TWIN LAKES WAY
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City | PLANO
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State | TX
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Zip | 75093-7572
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Country | US
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Telephone | 469-450-3478
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Fax | 214-501-4813
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Provider Business Mailing Address
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Address Line | 3401 TWIN LAKES WAY
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City | PLANO
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State | TX
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Zip | 75093-7572
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Country | US
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Telephone | 469-450-3478
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Fax | 214-501-4813
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Authorized Official
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Title or Position | MEMBER
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Name | PRASANNA SINGHVI
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Credential |
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Telephone | 469-450-3478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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