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General NPI Number Information
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NPI Number | 1588186852
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Entity Type | Individual
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Provider Name | NAVIN ABRAHAM PATHIYIL DMD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2017
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 6209 FM 521 SUITE B
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City | ROSHARON
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State | TX
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Zip | 77583
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Country | US
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Telephone | 281-369-5220
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Fax | 281-369-5240
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Provider Business Mailing Address
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Address Line | 7831 MOONLIGHT CT
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City | MISSOURI CITY
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State | TX
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Zip | 77459-7560
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Country | US
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Telephone | 281-857-0894
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DS041403
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 36350
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License Number State | TX
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