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General NPI Number Information
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NPI Number | 1124009766
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Entity Type | Individual
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Provider Name | PANKAJ J PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 4214 ANDREWS HWY SUITE 108
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City | MIDLAND
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State | TX
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Zip | 79703-4822
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Country | US
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Telephone | 432-522-5000
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Fax | 432-694-5775
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Provider Business Mailing Address
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Address Line | PO BOX 8440
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City | MIDLAND
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State | TX
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Zip | 79708-8440
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Country | US
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Telephone | 432-522-5000
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Fax | 532-694-5775
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | K0980
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License Number State | TX
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