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NPI 1982207130

NPI 1982207130 : HAIT H PATEL DPT : ALLEN, TX

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General NPI Number Information
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    NPI Number           |    1982207130
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    Entity Type          |    Individual 
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    Provider Name        |    HAIT H PATEL DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/19/2020
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    Last Update Date     |    01/28/2025
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Provider Practice Location Address
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    Address Line         |    1314 W MCDERMOTT DR STE 130 
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    City                 |    ALLEN
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    State                |    TX
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    Zip                  |    75013-3013
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    Country              |    US
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    Telephone            |    469-656-3004
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    Fax                  |    469-393-0032
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Provider Business Mailing Address
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    Address Line         |    2122 YORK RD STE 300 
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    City                 |    OAK BROOK
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    State                |    IL
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    Zip                  |    60523-1925
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    Country              |    US
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    Telephone            |    630-575-1980
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    Fax                  |    410-648-4878
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1368173
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    070-025131
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    License Number State |    IL
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