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General NPI Number Information
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NPI Number | 1083790265
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Entity Type | Organization
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Legal Business Name | DIGESTIVE DISEASE ASSOCIATES
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 6400 W NEWBERRY ROAD SUITE 302
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City | GAINESVILLE
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State | FL
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Zip | 32605
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Country | US
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Telephone | 352-331-8902
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Fax | 352-332-7832
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Provider Business Mailing Address
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Address Line | 6400 W NEWBERRY ROAD SUITE 308
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City | GAINESVILLE
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State | FL
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Zip | 32605
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Country | US
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Telephone | 352-331-8902
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Fax | 352-332-7832
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DENNIS PATRICK COLLINS
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Credential | M.D.
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Telephone | 352-331-8902
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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 | ME0061492
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License Number State | FL
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