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General NPI Number Information
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NPI Number | 1275534349
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Entity Type | Organization
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Legal Business Name | INTEGRAL GASTROENTEROLOGY CENTER, P.A.
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 2950 FM 2920 RD STE 180
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City | SPRING
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State | TX
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Zip | 77388
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Country | US
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Telephone | 281-880-4887
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Fax | 281-880-4889
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Provider Business Mailing Address
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Address Line | 2950 FM 2920 RD STE 180
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City | SPRING
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State | TX
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Zip | 77388-3698
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VENODHAR RAO JULAPALLI
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Credential | M.D.
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Telephone | 281-880-4887
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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 | L9755
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License Number State | TX
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