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General NPI Number Information
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NPI Number | 1588665780
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Entity Type | Individual
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Provider Name | MICHAEL J LANDGARTEN MD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 6190 LYNDON B JOHNSON FWY 702
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City | DALLAS
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State | TX
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Zip | 75240-6344
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Country | US
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Telephone | 214-466-7230
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Fax | 214-466-7236
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Provider Business Mailing Address
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Address Line | 1600 WATERS RIDGE DR STE A
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City | LEWISVILLE
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State | TX
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Zip | 75057-6039
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Country | US
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Telephone | 214-466-7230
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Fax | 214-466-7236
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | M0142
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License Number State | TX
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