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General NPI Number Information
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NPI Number | 1083094460
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Entity Type | Organization
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Legal Business Name | DIGESTIVE CARE ASSOCIATES PC
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 490 NORTHAMPTON ST
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City | EDWARDSVILLE
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State | PA
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Zip | 18704-4551
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Country | US
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Telephone | 570-288-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 14201 DALLAS PKWY
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City | DALLAS
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State | TX
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Zip | 75254-2916
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Country | US
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Telephone | 570-288-8100
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Fax | 570-714-2733
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Authorized Official
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Title or Position | VP, CFO
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Name | BRIAN RASMUS
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Credential |
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Telephone | 469-893-2532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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