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General NPI Number Information
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NPI Number | 1104085919
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Entity Type | Organization
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Legal Business Name | DIGESTIVE CENTER ASSOCIATES PLLC
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 701 S FRY RD SUITE 220
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City | KATY
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State | TX
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Zip | 77450-2255
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Country | US
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Telephone | 832-321-3008
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Fax | 832-321-5795
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Provider Business Mailing Address
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Address Line | 16107 KENSINGTON DR SUITE 136
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City | SUGAR LAND
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State | TX
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Zip | 77479-4224
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Country | US
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Telephone | 832-321-3008
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Fax | 832-321-5795
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Authorized Official
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Title or Position | OWNER
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Name | EPHRAIM E NSIEN
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Credential | MD
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Telephone | 832-321-3008
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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 | M5859
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License Number State | TX
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