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General NPI Number Information
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NPI Number | 1235318312
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Entity Type | Organization
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Legal Business Name | PETER F GRAY MD PA
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 5116 BISSONNET ST
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City | BELLAIRE
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State | TX
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Zip | 77401
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Country | US
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Telephone | 713-349-0248
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1888
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City | GREENVILLE
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State | TX
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Zip | 75403
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Country | US
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Telephone | 800-945-2455
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Fax | 903-453-2541
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Authorized Official
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Title or Position | OWNER
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Name | MR. PETER F GRAY
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Credential | MD
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Telephone | 903-453-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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