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General NPI Number Information
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NPI Number | 1902050594
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Entity Type | Individual
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Provider Name | SHREYA PATEL D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 11/09/2008
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 5701 N TARRANT PKWY STE 101
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City | FORT WORTH
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State | TX
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Zip | 76244-7307
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Country | US
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Telephone | 817-534-6455
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 WHEELER DR
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City | SOUTHLAKE
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State | TX
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Zip | 76092-2313
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Country | US
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Telephone | 317-938-3161
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 40205
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License Number State | TX
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