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General NPI Number Information
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NPI Number | 1730261819
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Entity Type | Individual
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Provider Name | DIPAN DAS MD
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 464 PARK GROVE DR STE A
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City | KATY
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State | TX
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Zip | 77450-1571
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Country | US
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Telephone | 832-232-4263
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Fax |
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Provider Business Mailing Address
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Address Line | 464 PARK GROVE DR STE A
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City | KATY
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State | TX
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Zip | 77450-1571
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Country | US
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Telephone | 832-232-4263
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 46805-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | P2629
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 46805-20
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 46805-020
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | P2629
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | P2629
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License Number State | TX
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