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General NPI Number Information
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NPI Number | 1194028142
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY & LIVER ASSOCIATES, PLLC
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 3030 S GESSNER RD SUITE 290
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City | HOUSTON
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State | TX
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Zip | 77063-3765
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Country | US
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Telephone | 713-783-4252
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Fax | 713-783-4262
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Provider Business Mailing Address
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Address Line | 3030 S GESSNER RD SUITE 290
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City | HOUSTON
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State | TX
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Zip | 77063-3765
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Country | US
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Telephone | 713-783-4252
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Fax | 713-783-4262
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. M. RADWAN AL-SABBAGH
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Credential | M.D.
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Telephone | 713-783-4252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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