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General NPI Number Information
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NPI Number | 1710178702
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Entity Type | Individual
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Provider Name | DIVYANSU DHIRENDRA PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 4515 SETON CENTER PKWY SUITE 175
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City | AUSTIN
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State | TX
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Zip | 78759-5290
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Country | US
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Telephone | 512-382-1933
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Fax | 512-777-4949
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Provider Business Mailing Address
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Address Line | 2217 PARK BEND DR STE 300
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City | AUSTIN
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State | TX
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Zip | 78758-5674
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Country | US
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Telephone | 123-821-9335
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Fax | 512-777-4949
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 00350
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 57.010367
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C175434
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | N5934
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | N5934
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License Number State | TX
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