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NPI 1639734593

NPI 1639734593 : PATEL ANESTHESIA AND PAIN SPECIALISTS : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1639734593
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    Entity Type          |    Organization 
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    Legal Business Name  |    PATEL ANESTHESIA AND PAIN SPECIALISTS 
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Dates
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    Enumeration Date     |    05/07/2019
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    Last Update Date     |    01/02/2024
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Provider Practice Location Address
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    Address Line         |    3503 W WHEATLAND RD STE 100 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75237-4410
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    Country              |    US
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    Telephone            |    469-313-0040
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    Fax                  |    469-313-0041
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Provider Business Mailing Address
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    Address Line         |    3503 W WHEATLAND RD STE 100 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75237-4410
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    Country              |    US
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    Telephone            |    469-313-0040
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    Fax                  |    469-313-0041
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Authorized Official
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    Title or Position    |    OWNER/AUTHORIZED OFFICIAL
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    Name                 |    DR. PRITESH  PATEL 
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    Credential           |    DO
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    Telephone            |    978-328-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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    License Number       |    
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    License Number State |    
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