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General NPI Number Information
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NPI Number | 1366258519
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Entity Type | Organization
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Legal Business Name | BIPAJA HEALTHCARE LLC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1724 S COLORADO ST
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City | LOCKHART
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State | TX
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Zip | 78644-3937
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Country | US
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Telephone | 512-400-4239
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Fax |
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Provider Business Mailing Address
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Address Line | 318 CANYON VIEW RUN
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4960
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Country | US
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Telephone | 512-400-4239
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAILESHKUMAR PATEL
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Credential | PHARMD
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Telephone | 512-400-4239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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