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General NPI Number Information
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NPI Number | 1386124204
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Entity Type | Organization
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Legal Business Name | DRONA ASTRA LLC
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 8901 WITMER CT
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City | AMARILLO
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State | TX
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Zip | 79119-1342
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Country | US
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Telephone | 718-772-2343
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Fax |
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Provider Business Mailing Address
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Address Line | 3440 BELL ST UNIT 320 BOX #330
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City | AMARILLO
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State | TX
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Zip | 79109-4112
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Country | US
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Telephone | 718-772-2343
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TANAY PATEL
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Credential | MD
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Telephone | 718-772-2343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | Q0149
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License Number State | TX
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