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General NPI Number Information
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NPI Number | 1912558693
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Entity Type | Organization
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Legal Business Name | CHANDRANT AKSHAR PA
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 400 W ARBROOK BLVD STE 230
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City | ARLINGTON
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State | TX
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Zip | 76014-3174
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Country | US
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Telephone | 214-642-2826
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Fax |
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Provider Business Mailing Address
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Address Line | 909 HAMPTON MANOR WAY
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City | SOUTHLAKE
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State | TX
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Zip | 76092-1434
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Country | US
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Telephone | 214-642-2826
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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. VISHAL CHANDRAKANT PATEL
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Credential | MD
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Telephone | 214-642-2826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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