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General NPI Number Information
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NPI Number | 1376319145
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Entity Type | Organization
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Legal Business Name | PROTEOCYTE AI US INC
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 4514 COLE AVE STE 930
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City | DALLAS
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State | TX
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Zip | 75205-4183
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Country | US
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Telephone | 806-535-5859
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Fax |
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Provider Business Mailing Address
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Address Line | 4514 COLE AVE STE 930
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City | DALLAS
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State | TX
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Zip | 75205-4183
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Country | US
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Telephone | 806-535-5859
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Fax |
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | PARAS BHARATKUMAR PATEL
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Credential | DDS
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Telephone | 806-535-5859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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