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NPI 1124048525

NPI 1124048525 : NORTH TEXAS INPATIENT AND GERIATRIC ASSOCIATES PA : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1124048525
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORTH TEXAS INPATIENT AND GERIATRIC ASSOCIATES PA 
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Dates
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    Enumeration Date     |    07/20/2006
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    Last Update Date     |    01/09/2009
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Provider Practice Location Address
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    Address Line         |    1340 EMPIRE CENTRAL 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75247-4022
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    Country              |    US
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    Telephone            |    214-732-3501
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1340 EMPIRE CENTRAL 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75247-4022
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     WAFER  GAMIL 
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    Credential           |    M.D.
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    Telephone            |    214-732-3501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QG0300X
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    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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