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General NPI Number Information
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NPI Number | 1275473159
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Entity Type | Organization
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Legal Business Name | DR PRAMESH DAVE MD PA PLLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 1290 HIGHWAY 157 N
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City | MANSFIELD
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State | TX
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Zip | 76063-1538
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Country | US
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Telephone | 817-473-0277
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Fax | 817-473-0911
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Provider Business Mailing Address
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Address Line | 2127 HOGAN DR
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City | IRVING
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State | TX
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Zip | 75038-5938
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Country | US
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Telephone | 817-690-3964
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Fax | 817-507-4490
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Authorized Official
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Title or Position | CEO
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Name | DR. PRAMESH CHANDRAKANT DAVE
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Credential | M.D.
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Telephone | 817-690-3964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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