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General NPI Number Information
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NPI Number | 1477948172
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Entity Type | Individual
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Provider Name | KRUTI R PATEL D.O
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Gender | Female
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 425 N HIGHLAND AVE STE 130
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City | SHERMAN
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State | TX
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Zip | 75092-7383
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Country | US
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Telephone | 903-868-7962
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Fax | 903-868-2317
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Provider Business Mailing Address
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Address Line | 425 N HIGHLAND AVE STE 130
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City | SHERMAN
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State | TX
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Zip | 75092-7383
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Country | US
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Telephone | 903-231-7962
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Fax | 903-868-2317
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | S9202
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 012456
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License Number State | OH
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