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General NPI Number Information
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NPI Number | 1588558233
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Entity Type | Organization
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Legal Business Name | NARESH H PATEL
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1400 8TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-4110
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Country | US
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Telephone | 817-734-9171
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Fax | 817-259-2814
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Provider Business Mailing Address
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Address Line | 1524 SILVERLEAF DR
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City | KELLER
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State | TX
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Zip | 76248-2020
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Country | US
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Telephone | 817-734-9171
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Fax | 817-259-2814
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | NARESH PATEL
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Credential |
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Telephone | 817-734-9171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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