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NPI 1194134247

NPI 1194134247 : PRIYA A PATEL O.D : DRIPPING SPRINGS, TX

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General NPI Number Information
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    NPI Number           |    1194134247
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    Entity Type          |    Individual 
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    Provider Name        |    PRIYA A PATEL O.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/02/2014
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    Last Update Date     |    01/25/2024
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Provider Practice Location Address
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    Address Line         |    333 E HIGHWAY 290 STE 419 
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    City                 |    DRIPPING SPRINGS
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    State                |    TX
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    Zip                  |    78620-5400
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    Country              |    US
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    Telephone            |    512-375-4125
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    Fax                  |    512-375-4184
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Provider Business Mailing Address
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    Address Line         |    333 E HIGHWAY 290 STE 419 
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    City                 |    DRIPPING SPRINGS
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    State                |    TX
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    Zip                  |    78620-5400
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    Country              |    US
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    Telephone            |    512-375-4125
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    27OA00687500
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    TA2439
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    License Number State |    MD
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Taxonomy #3
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    TUV008274
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    License Number State |    NY
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Taxonomy #4
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    10426T
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    License Number State |    TX
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