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General NPI Number Information
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NPI Number | 1508660044
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Entity Type | Individual
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Provider Name | ANJALI PATEL
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Gender | Female
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 9006 E 62ND ST
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City | TULSA
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State | OK
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Zip | 74133-6371
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Country | US
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Telephone | 414-288-6790
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Fax |
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Provider Business Mailing Address
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Address Line | 505 E 2ND ST APT 1334
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City | TULSA
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State | OK
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Zip | 74120-1829
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8105
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License Number State | OK
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