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General NPI Number Information
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NPI Number | 1649598285
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Entity Type | Individual
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Provider Name | VIKAS PANDEY
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Gender | Male
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 1717 MAIN ST STE 5850
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City | DALLAS
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State | TX
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Zip | 75201-7317
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Country | US
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Telephone | 972-449-0540
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 678186
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City | DALLAS
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State | TX
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Zip | 75267-8186
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Country | US
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Telephone | 303-306-7783
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Fax | 303-306-7753
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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 | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 036155299
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | Q3757
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | 036155299
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2019042337
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A159136
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD61585636
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 036155299
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036155299
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License Number State | IL
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