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General NPI Number Information
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NPI Number | 1033302898
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Entity Type | Organization
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Legal Business Name | ANNE WANG-GOMEZ, MD, PA
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 403 W CAMPBELL RD SUITE 102
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City | RICHARDSON
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State | TX
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Zip | 75080-3465
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Country | US
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Telephone | 972-498-4470
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Fax | 972-498-4537
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Provider Business Mailing Address
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Address Line | 403 W CAMPBELL RD SUITE 102
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City | RICHARDSON
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State | TX
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Zip | 75080-3465
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Country | US
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Telephone | 972-498-4470
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Fax | 972-498-4537
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHINGHUEY ANNE GOMEZ
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Credential | MD
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Telephone | 972-498-4470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | M5189
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License Number State | TX
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