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General NPI Number Information
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NPI Number | 1356433379
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Entity Type | Organization
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Legal Business Name | MCALLEN GASTROENTEROLOGY CLINIC LP
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 1900 S JACKSON RD STE 11
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City | MCALLEN
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State | TX
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Zip | 78503
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Country | US
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Telephone | 956-661-1333
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Fax | 956-661-1334
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Provider Business Mailing Address
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Address Line | 1900 S JACKSON RD STE 11
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City | MCALLEN
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State | TX
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Zip | 78503-1589
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Country | US
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Telephone | 956-661-1333
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Fax | 956-661-1334
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Authorized Official
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Title or Position | MANAGER
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Name | FATIH OZCELEBI
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Credential | M.D.
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Telephone | 956-661-1333
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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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