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General NPI Number Information
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NPI Number | 1659019453
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Entity Type | Individual
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Provider Name | PRIYA PATEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2005 W PARK DR STE 200
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City | IRVING
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State | TX
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Zip | 75061-2034
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Country | US
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Telephone | 214-358-2300
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Fax | 214-579-6984
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Provider Business Mailing Address
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Address Line | 1505 LBJ FWY STE 700
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City | DALLAS
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State | TX
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Zip | 75234-6065
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Country | US
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Telephone | 214-358-2300
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Fax | 214-579-6941
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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 |
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License Number State |
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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 | PA19568
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License Number State | TX
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