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General NPI Number Information
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NPI Number | 1225192768
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Entity Type | Organization
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Legal Business Name | VALLEY GASTROENTEROLOGY CLINIC, P.A.
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301 LINDBERG AVE SUITE A
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City | MCALLEN
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State | TX
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Zip | 78501-2902
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Country | US
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Telephone | 956-630-2979
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Fax | 956-630-1375
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Provider Business Mailing Address
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Address Line | 301 LINDBERG AVE SUITE A
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City | MCALLEN
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State | TX
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Zip | 78501-2902
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Country | US
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Telephone | 956-630-2979
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Fax | 956-630-1375
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KONDAPAVULURU V CHOWDARY
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Credential | M.D.
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Telephone | 956-630-2979
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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 |
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License Number State |
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