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General NPI Number Information
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NPI Number | 1558593293
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Entity Type | Individual
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Provider Name | DAMODAR PANDEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 520 E EUCLID AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4414
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Country | US
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Telephone | 210-271-0606
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Fax | 210-581-2836
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Provider Business Mailing Address
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Address Line | 1838 GREENE TREE RD STE 400
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City | PIKESVILLE
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State | MD
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Zip | 21208-7103
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Country | US
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Telephone | 410-602-7782
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Fax | 410-602-9344
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | Q7445
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D84309
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License Number State | MD
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