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General NPI Number Information
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NPI Number | 1598482440
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Entity Type | Organization
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Legal Business Name | GASTROINTESTINAL ASSOCIATES, PA
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Dates
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Enumeration Date | 10/21/2022
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 7127 HWY 98 W SUITE 10
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City | HATTIESBURG
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State | MS
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Zip | 39402-7034
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Country | US
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Telephone | 601-268-5185
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 LAKELAND DR
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City | FLOWOOD
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State | MS
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Zip | 39232-9513
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Country | US
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Telephone | 601-355-1234
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Fax | 601-326-3566
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Authorized Official
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Title or Position | CEO
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Name | JAMES J WEBER
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Credential | MD
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Telephone | 214-424-2213
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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 |
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License Number State |
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