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General NPI Number Information
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NPI Number | 1639772239
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Entity Type | Individual
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Provider Name | BEENA PATEL PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 3730 BELT LINE RD
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City | ADDISON
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State | TX
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Zip | 75001-4301
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Country | US
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Telephone | 214-414-0026
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Fax |
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Provider Business Mailing Address
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Address Line | 12174 HESSE DR
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-1482
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 51011
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License Number State | TX
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