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General NPI Number Information
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NPI Number | 1487015319
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Entity Type | Organization
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Legal Business Name | IMRAN K PATEL MD PA
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Dates
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Enumeration Date | 03/21/2016
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 6741 AUDUBON TRL
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City | FORT WORTH
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State | TX
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Zip | 76132-3081
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Country | US
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Telephone | 817-375-5556
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Fax |
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Provider Business Mailing Address
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Address Line | 6741 AUDUBON TRL
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City | FORT WORTH
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State | TX
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Zip | 76132-3081
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Country | US
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Telephone | 817-375-5556
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IMRAN K PATEL
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Credential | MD
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Telephone | 817-375-5556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | M0522
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License Number State | TX
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