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General NPI Number Information
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NPI Number | 1215244801
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Entity Type | Organization
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Legal Business Name | DENTON GASTROENTEROLOLGY ASSOCIATES,PA
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 3327 COLORADO BLVD STE 100
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City | DENTON
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State | TX
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Zip | 76210-6866
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Country | US
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Telephone | 940-387-5577
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Fax | 940-380-1577
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Provider Business Mailing Address
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Address Line | 3327 COLORADO BLVD STE 100
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City | DENTON
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State | TX
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Zip | 76210-6866
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Country | US
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Telephone | 940-387-5577
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Fax | 940-380-1577
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH D FLETCHER
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Credential | MD
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Telephone | 940-387-5577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | E7074
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License Number State | TX
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