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General NPI Number Information
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NPI Number | 1992957765
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Entity Type | Individual
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Provider Name | SHITALBEN R. PATEL
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Gender | Female
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 1445 W PLEASANT RUN RD STE 500
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City | LANCASTER
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State | TX
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Zip | 75146-1312
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Country | US
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Telephone | 214-432-4070
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Fax |
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Provider Business Mailing Address
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Address Line | 10503 TORINO DR
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City | FRISCO
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State | TX
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Zip | 75035-8030
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Country | US
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Telephone | 312-480-6002
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 31451
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License Number State | TX
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