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General NPI Number Information
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NPI Number | 1790572048
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Entity Type | Individual
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Provider Name | ALAY PATEL FNP-C
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Gender | Male
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 12477 MERIT DR
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City | DALLAS
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State | TX
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Zip | 75251-2344
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Country | US
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Telephone | 972-239-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 3008 DELAWARE AVE
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City | MCCOMB
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State | MS
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Zip | 39648-6006
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Country | US
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Telephone | 601-810-4911
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1177157
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License Number State | TX
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