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General NPI Number Information
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NPI Number | 1558966234
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Entity Type | Individual
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Provider Name | JAGRUTI ASHWIN PATEL
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Gender | Female
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 14606 RICHMOND AVE
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City | HOUSTON
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State | TX
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Zip | 77082-1513
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Country | US
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Telephone | 281-509-3440
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Fax | 281-509-3446
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Provider Business Mailing Address
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Address Line | 3411 SMART SANDS LN
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City | FULSHEAR
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State | TX
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Zip | 77441-1459
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Country | US
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Telephone | 713-775-7877
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 50505
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License Number State | TX
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