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General NPI Number Information
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NPI Number | 1316154073
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Entity Type | Organization
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Legal Business Name | T. GOPAL & ASSOCIATES, M.D., P.A.
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 10594 FUQUA ST
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City | HOUSTON
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State | TX
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Zip | 77089-1402
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Country | US
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Telephone | 281-484-3500
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Fax | 281-484-3517
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Provider Business Mailing Address
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Address Line | 10594 FUQUA ST
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City | HOUSTON
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State | TX
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Zip | 77089-1402
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Country | US
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Telephone | 281-484-3500
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Fax | 281-484-3517
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Authorized Official
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Title or Position | OWNER
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Name | DR. THANDAVARAJAN GOPALAKRISHNAN
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Credential | M.D.
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Telephone | 281-484-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K5966
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License Number State | TX
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