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General NPI Number Information
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NPI Number | 1952314775
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Entity Type | Individual
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Provider Name | PANKAJ V. PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 3403 ANDREWS HWY STE 300
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City | MIDLAND
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State | TX
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Zip | 79703-5132
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Country | US
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Telephone | 432-522-1234
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Fax | 432-522-2950
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Provider Business Mailing Address
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Address Line | PO BOX 8749
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City | MIDLAND
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State | TX
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Zip | 79708-8749
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Country | US
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Telephone | 432-522-1234
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Fax | 432-522-2950
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | J4962
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | J4962
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License Number State | TX
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