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General NPI Number Information
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NPI Number | 1568657567
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS GASTROENTEROLOGY CONSULTANTS PA
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 3304 COLORADO BLVD STE 205
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City | DENTON
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State | TX
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Zip | 76210-6877
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Country | US
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Telephone | 940-898-7488
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Fax | 940-243-3554
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Provider Business Mailing Address
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Address Line | 106 N DENTON TAP RD # 210-352
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City | COPPELL
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State | TX
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Zip | 75019-2138
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Country | US
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Telephone | 940-898-7488
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Fax | 940-243-3554
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. AMJAD NAEEM AWAN
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Credential | M.D.
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Telephone | 940-898-7488
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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 | K9017
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License Number State | TX
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