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General NPI Number Information
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NPI Number | 1346060399
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Entity Type | Individual
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Provider Name | RIYA PATEL OD
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Gender | Female
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 20131 EASTEX FWY STE 1142
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City | HUMBLE
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State | TX
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Zip | 77338-2331
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Country | US
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Telephone | 409-767-3897
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Fax |
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Provider Business Mailing Address
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Address Line | 414 MILAM ST APT 3904
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City | HOUSTON
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State | TX
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Zip | 77002-1994
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Country | US
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Telephone | 409-767-3897
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11207T
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License Number State | TX
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