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General NPI Number Information
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NPI Number | 1710972435
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Entity Type | Individual
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Provider Name | DEVINDA DE SOYZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 1625 N STORY RD
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City | IRVING
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State | TX
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Zip | 75061-1929
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Country | US
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Telephone | 214-358-2300
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Fax | 214-366-6220
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Provider Business Mailing Address
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Address Line | 1420 VICEROY DR
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City | DALLAS
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State | TX
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Zip | 75235-2208
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Country | US
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Telephone | 214-358-2300
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Fax | 214-366-6127
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | K8619
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License Number State | TX
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