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General NPI Number Information
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NPI Number | 1699144154
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Entity Type | Organization
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Legal Business Name | PERPETUUM HEALTH PLLC
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 2410 LUNA RD STE 264
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City | CARROLLTON
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State | TX
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Zip | 75006-6563
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Country | US
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Telephone | 972-318-9731
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Fax |
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Provider Business Mailing Address
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Address Line | 2410 LUNA RD STE 248
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City | CARROLLTON
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State | TX
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Zip | 75006-6578
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Country | US
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Telephone | 972-318-9731
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RAVI B PATEL
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Credential | MD
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Telephone | 972-318-9731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M3058
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License Number State | TX
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