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General NPI Number Information
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NPI Number | 1144882747
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Entity Type | Organization
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Legal Business Name | PRISMA PROCTOLOGY SURGICAL MEDICINE & ASSOCIATES PLLC
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 7789 SOUTHWEST FWY STE 300
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City | HOUSTON
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State | TX
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Zip | 77074-1832
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Country | US
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Telephone | 281-994-7403
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Fax |
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Provider Business Mailing Address
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Address Line | 7789 SOUTHWEST FWY STE 300
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City | HOUSTON
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State | TX
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Zip | 77074-1832
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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 | PHYSICIAN/OWNER
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Name | AAKASH GAJJAR
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Credential | MD
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Telephone | 713-320-7484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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