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General NPI Number Information
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NPI Number | 1588638126
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Entity Type | Organization
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Legal Business Name | GREGORY F MONDINI MD PA
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 607 EAST CLINTON
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City | ATHENS
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State | TX
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Zip | 75751
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Country | US
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Telephone | 903-675-7700
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Fax | 903-675-7809
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Provider Business Mailing Address
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Address Line | 607 EAST CLINTON
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City | ATHENS
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State | TX
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Zip | 75751
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Country | US
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Telephone | 903-675-7700
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Fax | 903-675-7809
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY F MONDINI
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Credential | MD
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Telephone | 903-675-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | J7099
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License Number State | TX
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