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General NPI Number Information
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NPI Number | 1861912735
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Entity Type | Organization
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Legal Business Name | PATEL & SIGURDSON PLLC
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 6434 E MOCKINGBIRD LN STE 215
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City | DALLAS
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State | TX
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Zip | 75214-2494
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Country | US
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Telephone | 214-827-1885
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Fax | 214-827-1885
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Provider Business Mailing Address
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Address Line | 2901 CITYPLACE WEST BLVD APT 603
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City | DALLAS
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State | TX
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Zip | 75204-0368
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Country | US
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Telephone | 832-612-1123
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAUN SIGURDSON
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Credential | DDS
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Telephone | 832-612-1123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 31895
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License Number State | TX
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