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General NPI Number Information
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NPI Number | 1457661324
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Entity Type | Individual
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Provider Name | PAYAL R DOSHI OD
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Gender | Female
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 915 E RANDOL MILL
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City | ARLINGTON
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State | TX
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Zip | 76011-3184
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Country | US
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Telephone | 817-462-1661
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Fax |
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Provider Business Mailing Address
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Address Line | 2504 WATERFORD DR
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City | IRVING
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State | TX
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Zip | 75063-3184
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Country | US
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Telephone | 505-417-0311
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 616
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8389T
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License Number State | TX
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