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General NPI Number Information
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NPI Number | 1114703139
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Entity Type | Organization
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Legal Business Name | KIDS GASTRO CENTER
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 7790 W GRAND PKWY S STE 102
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City | RICHMOND
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State | TX
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Zip | 77406-5830
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Country | US
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Telephone | 832-553-0700
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Fax | 832-345-5771
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Provider Business Mailing Address
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Address Line | 7790 W GRAND PKWY S STE 102
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City | RICHMOND
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State | TX
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Zip | 77406-5830
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Country | US
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Telephone | 832-553-0700
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Fax | 832-345-5771
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Authorized Official
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Title or Position | PHYSICIAN
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Name | AMAKA ANULI AKALONU
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Credential | MD
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Telephone | 832-605-0227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number |
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License Number State |
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