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General NPI Number Information
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NPI Number | 1285768739
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Entity Type | Organization
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Legal Business Name | KAP GERI DOK PLLC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 4514 COLE AVE SUITE 610
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City | DALLAS
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State | TX
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Zip | 75205-5412
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Country | US
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Telephone | 214-559-7135
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Fax | 214-705-3803
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Provider Business Mailing Address
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Address Line | 5440 HARVEST HILL RD STE 200
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City | DALLAS
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State | TX
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Zip | 75230-6415
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Country | US
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Telephone | 214-348-7611
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Fax | 214-348-0129
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Authorized Official
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Title or Position | OWNER
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Name | KOJO A POBEE
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Credential | MD
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Telephone | 469-323-8556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | K7592
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 647333
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License Number State | TX
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