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General NPI Number Information
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NPI Number | 1326652397
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Entity Type | Individual
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Provider Name | ROMA PATEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/07/2020
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Last Update Date | 09/07/2020
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Provider Practice Location Address
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Address Line | 721 BOYD RD
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City | AZLE
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State | TX
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Zip | 76020-4811
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Country | US
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Telephone | 817-270-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 11717 LITTLE ELM CREEK RD
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City | ARGYLE
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State | TX
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Zip | 76226-2572
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Country | US
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Telephone | 503-804-0865
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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 | 58023
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License Number State | TX
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