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General NPI Number Information
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NPI Number | 1912124884
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Entity Type | Organization
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Legal Business Name | ANGELINA JAGPAL, O.D., P.A.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9101 N TARRANT PKWY
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-1655
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Country | US
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Telephone | 817-514-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 421 AVALON LN
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City | COPPELL
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State | TX
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Zip | 75019-7580
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELINA JAGPAL
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Credential | O.D.
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Telephone | 972-462-9304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6824T
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License Number State | TX
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