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General NPI Number Information
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NPI Number | 1558412460
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Entity Type | Individual
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Provider Name | JIGNYASHA S PATEL P.T.
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 5373 W ALABAMA ST STE 204
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City | HOUSTON
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State | TX
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Zip | 77056-5923
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Country | US
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Telephone | 310-795-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 ROMERO DR
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City | PEARLAND
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State | TX
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Zip | 77581-5264
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Country | US
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Telephone | 310-795-3777
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT32778
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1168725
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License Number State | TX
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