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General NPI Number Information
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NPI Number | 1497396154
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Entity Type | Individual
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Provider Name | KARISHMA DUSHYANT PATEL DDS
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Gender | Female
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 3220 S DURANGO DR STE B2
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City | LAS VEGAS
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State | NV
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Zip | 89117-4410
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Country | US
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Telephone | 951-489-9391
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Fax |
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Provider Business Mailing Address
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Address Line | 3220 S DURANGO DR STE B2
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City | LAS VEGAS
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State | NV
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Zip | 89117-4410
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Country | US
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Telephone | 951-489-9391
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 104470
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.032364
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7737
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License Number State | NV
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