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General NPI Number Information
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NPI Number | 1154140861
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS MEDICAL PROVIDERS
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 5072 W PLANO PKWY STE 220
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City | PLANO
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State | TX
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Zip | 75093-4475
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Country | US
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Telephone | 469-671-0900
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Fax | 972-695-8827
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Provider Business Mailing Address
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Address Line | 5072 W PLANO PKWY STE 220
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City | PLANO
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State | TX
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Zip | 75093-4475
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Country | US
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Telephone | 469-671-0900
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Fax | 972-695-8827
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Authorized Official
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Title or Position | MEDICAL PROVIDER
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Name | BHAVINIBEN PATEL
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Credential | MD
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Telephone | 469-586-7682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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