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General NPI Number Information
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NPI Number | 1356695688
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Entity Type | Individual
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Provider Name | DR. PRITESH PATEL
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Gender | Male
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 3503 W WHEATLAND RD STE 100
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City | DALLAS
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State | TX
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Zip | 75237-4410
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Country | US
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Telephone | 469-313-0040
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Fax | 469-313-0041
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Provider Business Mailing Address
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Address Line | 3503 W WHEATLAND RD STE 100
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City | DALLAS
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State | TX
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Zip | 75237-4410
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Country | US
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Telephone | 469-313-0040
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Fax | 469-313-0041
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | R2002
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | R2002
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License Number State | TX
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