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General NPI Number Information
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NPI Number | 1346063427
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Entity Type | Organization
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Legal Business Name | GPDONE PLLC
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 804 S CENTRAL EXPY STE 201
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City | ANNA
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State | TX
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Zip | 75409-4591
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Country | US
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Telephone | 972-924-4443
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Fax |
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Provider Business Mailing Address
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Address Line | 6004 RIDGEMORE DR
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City | PARKER
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State | TX
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Zip | 75002-5450
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Country | US
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Telephone | 913-406-2463
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ANAS ATHAR
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Credential | DDS
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Telephone | 913-406-2463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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