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General NPI Number Information
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NPI Number | 1790126142
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Entity Type | Individual
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Provider Name | TEJASH PATEL DMD
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Gender | Male
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1417 E WALNUT ST STE 100
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City | SEGUIN
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State | TX
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Zip | 78155-5183
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Country | US
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Telephone | 830-396-2017
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Fax |
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Provider Business Mailing Address
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Address Line | 414 E F M 351 RD, #406
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City | BEEVILLE
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State | TX
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Zip | 78102
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Country | US
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Telephone | 248-275-3289
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 29322
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License Number State | TX
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