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General NPI Number Information
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NPI Number | 1518363993
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Entity Type | Organization
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Legal Business Name | LONE STAR GASTROENTEROLOGY OF ABILENE, PLLC
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Dates
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Enumeration Date | 11/12/2014
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Last Update Date | 07/04/2018
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Provider Practice Location Address
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Address Line | 1904 PINE ST STE 1B
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City | ABILENE
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State | TX
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Zip | 79601
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Country | US
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Telephone | 325-704-5055
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Fax | 325-704-5056
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Provider Business Mailing Address
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Address Line | PO BOX 6815
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City | ABILENE
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State | TX
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Zip | 79608-6815
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Country | US
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Telephone | 325-704-5055
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Fax | 325-704-5056
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Authorized Official
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Title or Position | SOLE MANAGING MEMBER/OWNER
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Name | DR. VIVEK REDDY GARLAPATI
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Credential | M.D.
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Telephone | 586-864-0209
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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 | P8475
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License Number State | TX
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