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General NPI Number Information
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NPI Number | 1427695618
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Entity Type | Organization
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Legal Business Name | TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
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Dates
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Enumeration Date | 12/06/2019
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 9103 JEFFERSON HWY STE 200
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City | BATON ROUGE
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State | LA
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Zip | 70809-2440
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Country | US
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Telephone | 817-572-0009
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35629
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City | DALLAS
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State | TX
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Zip | 75235-0629
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | PEGGY SEILER
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Credential |
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Telephone | 214-424-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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