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General NPI Number Information
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NPI Number | 1467474593
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Entity Type | Organization
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Legal Business Name | PRABHU B. PATIL,M.D.,P.A
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 150 W PARKER RD STE. 704
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City | HOUSTON
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State | TX
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Zip | 77076-2951
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Country | US
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Telephone | 713-697-7166
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Fax | 713-697-7606
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Provider Business Mailing Address
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Address Line | 150 W PARKER RD STE. 704
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City | HOUSTON
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State | TX
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Zip | 77076-2951
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Country | US
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Telephone | 713-697-7166
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Fax | 713-697-7606
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Authorized Official
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Title or Position | OWNER
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Name | DR. PRABHU B PATIL
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Credential | M.D.,P.A.
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Telephone | 713-697-7166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E4918
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License Number State | TX
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