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General NPI Number Information
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NPI Number | 1356028138
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Entity Type | Organization
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Legal Business Name | GI DIGITAL INC
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 535 5TH AVE FL 4
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City | NEW YORK
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State | NY
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Zip | 10017-8020
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Country | US
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Telephone | 332-245-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 107 RIVER ST
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-2472
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Country | US
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Telephone | 914-500-8949
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. HAGEN WENZEK
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Credential |
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Telephone | 332-245-3322
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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 |
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License Number State |
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