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General NPI Number Information
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NPI Number | 1568941508
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Entity Type | Individual
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Provider Name | MEERAJ DEEPAK PATEL DDS
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Gender | Male
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 08/10/2018
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Provider Practice Location Address
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Address Line | 25621 NELSON WAY UNIT 110
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City | KATY
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State | TX
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Zip | 77494-5388
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Country | US
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Telephone | 281-392-8222
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Fax |
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Provider Business Mailing Address
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Address Line | 3385 ASHTON SPRINGS LN
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City | PEARLAND
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State | TX
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Zip | 77584-5305
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Country | US
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Telephone | 832-875-6292
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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 | 34432
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License Number State | TX
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