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General NPI Number Information
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NPI Number | 1003629080
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Entity Type | Organization
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Legal Business Name | GENDI MULTI SPECIALTY GROUP
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 1430 PASADENA BLVD STE A
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City | PASADENA
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State | TX
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Zip | 77502-2414
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Country | US
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Telephone | 713-477-0400
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Fax | 713-477-2711
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Provider Business Mailing Address
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Address Line | 1430 PASADENA BLVD STE A
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City | PASADENA
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State | TX
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Zip | 77502-2414
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Country | US
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Telephone | 713-477-0400
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Fax | 713-477-2711
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. WAGIH GENDI
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Credential | MD
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Telephone | 713-202-5091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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