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General NPI Number Information
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NPI Number | 1417025057
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 1601 N. TUCSON BLVD STE #14A
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City | TUCSON
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State | AZ
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Zip | 85716-3425
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Country | US
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Telephone | 520-795-4155
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Fax | 520-795-0909
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Provider Business Mailing Address
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Address Line | 1601 N. TUCSON BLVD STE #14A
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City | TUCSON
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State | AZ
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Zip | 85716-3425
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Country | US
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Telephone | 520-795-4155
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Fax | 520-795-0909
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. ARNOLD B MERIN
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Credential | M.D.
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Telephone | 520-795-4155
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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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