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General NPI Number Information
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NPI Number | 1699103689
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Entity Type | Individual
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Provider Name | ANKUR S PATEL DDS
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Gender | Male
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 05/14/2022
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Provider Practice Location Address
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Address Line | 2780 FM 1463 RD STE 203
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City | KATY
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State | TX
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Zip | 77494-7938
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Country | US
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Telephone | 312-834-3368
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Fax |
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Provider Business Mailing Address
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Address Line | 2780 FM 1463 RD STE 203
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City | KATY
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State | TX
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Zip | 77494-7938
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019029431
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 31855
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License Number State | TX
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