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General NPI Number Information
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NPI Number | 1235114786
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Entity Type | Individual
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Provider Name | HARISH K GAGNEJA MD
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Gender | Male
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 1015 E 32ND ST STE 300
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City | AUSTIN
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State | TX
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Zip | 78705-2701
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Country | US
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Telephone | 512-469-9966
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Fax | 512-469-9482
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Provider Business Mailing Address
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Address Line | PO BOX 10597
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City | AUSTIN
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State | TX
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Zip | 78766-1597
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Country | US
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Telephone | 512-485-5878
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Fax | 512-420-0397
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | L0184
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License Number State | TX
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