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General NPI Number Information
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NPI Number | 1295710655
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Entity Type | Individual
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Provider Name | ANANT I PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 12180 N MOPAC EXPY STE B
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City | AUSTIN
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State | TX
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Zip | 78758-2909
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Country | US
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Telephone | 512-617-2810
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Fax | 512-814-0018
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Provider Business Mailing Address
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Address Line | 12180 N MOPAC EXPY STE B
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City | AUSTIN
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State | TX
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Zip | 78758-2909
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Country | US
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Telephone | 512-617-6767
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Fax | 512-617-5598
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | K4982
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License Number State | TX
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