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General NPI Number Information
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NPI Number | 1518156397
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY ASSOCIATES P C
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 148 MOUNT PELIA RD
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City | MARTIN
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State | TN
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Zip | 38237-3812
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Country | US
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Telephone | 731-587-5170
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Fax | 731-587-5270
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Provider Business Mailing Address
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Address Line | 148 MOUNT PELIA RD
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City | MARTIN
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State | TN
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Zip | 38237-3812
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Country | US
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Telephone | 731-587-5170
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Fax | 731-587-5270
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NIKHIL R PATEL
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Credential | MD
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Telephone | 731-587-5170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD020210
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License Number State | TN
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