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General NPI Number Information
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NPI Number | 1588031074
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Entity Type | Individual
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Provider Name | DHAVAL PATEL DMD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2015
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1900 LONG PRAIRIE RD STE 132
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City | FLOWER MOUND
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State | TX
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Zip | 75022-4295
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Country | US
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Telephone | 972-874-7870
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Fax |
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Provider Business Mailing Address
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Address Line | 4358 SUPERIOR LN
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City | IRVING
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State | TX
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Zip | 75063-1277
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Country | US
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Telephone | 630-402-1551
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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 | 31419
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1857463
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License Number State | MA
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