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General NPI Number Information
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NPI Number | 1154878700
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Entity Type | Individual
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Provider Name | DHIR PATEL DDS
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Gender | Male
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 2101 SW H K DODGEN LOOP SUITE 130
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City | TEMPLE
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State | TX
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Zip | 76504
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Country | US
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Telephone | 254-265-8998
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Fax |
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Provider Business Mailing Address
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Address Line | 63 SACRED PATH
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City | IRVINE
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State | CA
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Zip | 92618-8857
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Country | US
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Telephone | 951-532-4433
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 100675
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1858246
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 32295
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License Number State | TX
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