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General NPI Number Information
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NPI Number | 1538317128
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Entity Type | Individual
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Provider Name | ROMA BHANU PATEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 1601 TRINITY ST
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City | AUSTIN
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State | TX
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Zip | 78712-1765
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Country | US
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Telephone | 833-882-2737
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Fax | 512-495-5680
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Provider Business Mailing Address
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Address Line | 1601 TRINITY ST STOP Z0200
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City | AUSTIN
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State | TX
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Zip | 78712-1850
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Country | US
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Telephone | 833-882-2737
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Fax | 512-495-5680
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 21827
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA05340
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License Number State | TX
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