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General NPI Number Information
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NPI Number | 1134257587
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Entity Type | Organization
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Legal Business Name | LONE STAR LAP-BAND, P.A.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8301 LAKEVIEW PKWY STE. 210
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City | ROWLETT
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State | TX
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Zip | 75088-9320
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Country | US
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Telephone | 972-412-6500
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Fax | 972-412-6415
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Provider Business Mailing Address
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Address Line | PO BOX 2512
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City | ROCKWALL
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State | TX
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Zip | 75087-9012
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Country | US
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Telephone | 972-772-4333
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Fax | 972-772-4005
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Authorized Official
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Title or Position | INSURANCE DEPARTMENT
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Name | ELLEN GASTON
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Credential |
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Telephone | 972-772-4333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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