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General NPI Number Information
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NPI Number | 1306610902
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Entity Type | Individual
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Provider Name | MEGHABEN PATEL
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Gender | Female
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 2004 N GOLIAD ST
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City | ROCKWALL
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State | TX
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Zip | 75087-7317
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Country | US
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Telephone | 972-722-4706
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Fax |
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Provider Business Mailing Address
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Address Line | 564 E AVENUE J APT B
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City | GRAND PRAIRIE
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State | TX
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Zip | 75050-2545
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Country | US
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Telephone | 512-577-0423
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 73362
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License Number State | TX
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