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General NPI Number Information
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NPI Number | 1992433866
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Entity Type | Individual
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Provider Name | PURAV B PATEL DDS
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Gender | Male
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 420 E ROUND GROVE RD STE 640
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City | LEWISVILLE
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State | TX
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Zip | 75067-8138
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Country | US
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Telephone | 972-436-4556
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 HIGH HAWK TRL
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City | EULESS
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State | TX
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Zip | 76039-5837
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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 |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 38746
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License Number State | TX
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