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NPI 1215669403

NPI 1215669403 : DR. PARTH PATEL : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1215669403
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    Entity Type          |    Individual 
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    Provider Name        |    DR. PARTH PATEL
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/27/2022
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    Last Update Date     |    12/17/2024
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Provider Practice Location Address
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    Address Line         |    3310 W BRAKER LN # 100 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78758-7853
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    Country              |    US
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    Telephone            |    512-617-0110
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    21331 STINGING NETTLE LN 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77433-6337
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    Country              |    US
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    Telephone            |    315-567-3830
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    41084
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    License Number State |    TX
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