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General NPI Number Information
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NPI Number | 1609938372
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Entity Type | Individual
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Provider Name | DIMPLE VARUGHESE PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 4635 FRANKFORD RD
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City | DALLAS
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State | TX
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Zip | 75287-7108
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Country | US
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Telephone | 469-495-9106
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Fax |
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Provider Business Mailing Address
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Address Line | 6235 MAIN ST APT 4005
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City | FRISCO
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State | TX
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Zip | 75034-3435
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA04992
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA04992
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License Number State | TX
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