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General NPI Number Information
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NPI Number | 1164656872
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Entity Type | Organization
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Legal Business Name | NARA PRAVAT D.O. P.A.
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Dates
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Enumeration Date | 05/08/2009
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1420 W MOCKINGBIRD LN STE 420
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City | DALLAS
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State | TX
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Zip | 75247-4973
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Country | US
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Telephone | 214-267-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 6923 ROYAL LN
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City | DALLAS
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State | TX
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Zip | 75230-4214
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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 | DIRECTOR
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Name | DR. NARA PRAPAN PRAVAT
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Credential | D.O.
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Telephone | 817-821-5026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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