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General NPI Number Information
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NPI Number | 1356526503
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS BARIATRIC AND GENERAL SURGERY, P.A.
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 4333 N JOSEY LN STE 207
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City | CARROLLTON
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State | TX
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Zip | 75010-4631
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Country | US
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Telephone | 972-939-8218
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Fax |
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Provider Business Mailing Address
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Address Line | 4333 N JOSEY LN STE 207
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City | CARROLLTON
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State | TX
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Zip | 75010-4631
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Country | US
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Telephone | 972-939-8218
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. FRANCIS DAVID VENINGA
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Credential | M.D.
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Telephone | 972-939-8218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G3088
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License Number State | TX
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