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NPI 1508362179

NPI 1508362179 : ANDREW GDOWSKI DO, PHD : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1508362179
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW GDOWSKI DO, PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/03/2018
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    Last Update Date     |    08/28/2024
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Provider Practice Location Address
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    Address Line         |    1441 N BECKLEY AVE STE 101 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75203-1201
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    Country              |    US
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    Telephone            |    214-943-9911
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    Fax                  |    214-943-6334
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Provider Business Mailing Address
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    Address Line         |    PO BOX 911230 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75391-1918
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    Country              |    US
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    Telephone            |    972-997-8000
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    Fax                  |    972-234-0813
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    U7679
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    BP10063746
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    License Number State |    TX
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