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General NPI Number Information
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NPI Number | 1144728528
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Entity Type | Organization
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Legal Business Name | BONNIE VIEW DENTAL PLLC
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 01/31/2018
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Provider Practice Location Address
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Address Line | 6181 BONNIE VIEW ROAD
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City | DALLAS
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State | TX
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Zip | 75241
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Country | US
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Telephone | 312-480-6002
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Fax |
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Provider Business Mailing Address
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Address Line | 10503 TORINO DR
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City | FRISCO
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State | TX
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Zip | 75035-8030
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SHITALBEN PATEL
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Credential | DMD
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Telephone | 312-480-6002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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