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General NPI Number Information
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NPI Number | 1730670829
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Entity Type | Individual
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Provider Name | HIREN ASHOK PATEL OD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 603 MALLARD LN
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City | TAYLOR
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State | TX
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Zip | 76574-1214
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Country | US
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Telephone | 512-352-7664
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Fax | 512-365-5237
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Provider Business Mailing Address
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Address Line | 2120 ROUND ROCK AVE STE 100
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City | ROUND ROCK
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State | TX
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Zip | 78681-4010
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Country | US
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Telephone | 512-244-1991
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Fax | 512-244-1786
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4428ATI
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10625TG
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License Number State | TX
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