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General NPI Number Information
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NPI Number | 1902091614
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Entity Type | Organization
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Legal Business Name | SHIVANI H PATEL, PA
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 2501 E HEBRON PKWY
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City | CARROLLTON
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State | TX
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Zip | 75010-4403
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Country | US
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Telephone | 972-300-4171
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 E HEBRON PKWY SUITE 500
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City | CARROLLTON
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State | TX
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Zip | 75010-4403
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Country | US
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Telephone | 972-300-4171
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHIVANI H. PATEL
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Credential | M.D.
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Telephone | 972-300-4171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | M0523
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | M0523
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License Number State | TX
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