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General NPI Number Information
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NPI Number | 1518354646
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Entity Type | Organization
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Legal Business Name | PATEL TRANSITIONS MHT LLC
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 04/15/2015
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Provider Practice Location Address
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Address Line | 1515 HERITAGE DR STE 110
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City | MCKINNEY
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State | TX
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Zip | 75069-3256
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Country | US
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Telephone | 972-616-4932
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 HERITAGE DR STE 110
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City | MCKINNEY
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State | TX
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Zip | 75069-3256
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Country | US
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Telephone | 972-616-4932
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHEIL PATEL
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Credential | DO
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Telephone | 210-818-2184
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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 | N8966
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License Number State | TX
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