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General NPI Number Information
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NPI Number | 1235572686
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Entity Type | Individual
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Provider Name | PRATIK DILIP PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 21309 FOSTER RD STE 100
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City | SPRING
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State | TX
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Zip | 77388
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Country | US
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Telephone | 281-587-1700
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Fax | 281-907-6003
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Provider Business Mailing Address
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Address Line | 21309 FOSTER RD STE 100
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City | SPRING
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State | TX
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Zip | 77388-4209
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Country | US
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Telephone | 281-587-1700
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Fax | 281-907-6003
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 54717
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R2438
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License Number State | TX
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