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General NPI Number Information
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NPI Number | 1144523549
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Entity Type | Individual
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Provider Name | PRATYUSHA PARAVA M.D
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Gender | Female
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 3305 ANDREWS HWY # B1
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City | MIDLAND
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State | TX
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Zip | 79703-5130
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Country | US
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Telephone | 432-000-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 3305 ANDREWS HWY
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City | MIDLAND
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State | TX
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Zip | 79703-5130
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Country | US
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Telephone | 432-262-1948
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Fax |
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 30441
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | R3933
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License Number State | TX
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