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General NPI Number Information
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NPI Number | 1598617375
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS PEDIATRIC GASTROENTEROLOGY PLLC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 412 VILLAGE DR STE 400
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City | MURPHY
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State | TX
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Zip | 75094-4635
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Country | US
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Telephone | 347-824-9429
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Fax |
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Provider Business Mailing Address
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Address Line | 3302 S BROWNELL AVE
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City | JOPLIN
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State | MO
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Zip | 64804-4327
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Country | US
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Telephone | 347-824-9429
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MUHAMMAD SHAUKAT
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Credential | MD
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Telephone | 347-824-9429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number |
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License Number State |
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