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General NPI Number Information
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NPI Number | 1346771888
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Entity Type | Individual
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Provider Name | NIKESH PATEL
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Gender | Male
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Dates
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Enumeration Date | 03/26/2017
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 5151 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-2072
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Country | US
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Telephone | 214-645-2225
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Fax | 469-645-8451
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Provider Business Mailing Address
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Address Line | 5161 HARRY HINES BLVD CS6.102
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City | DALLAS
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State | TX
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Zip | 75390-8860
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Country | US
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Telephone | 214-648-0592
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Fax | 214-645-2558
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 20A17182
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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