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General NPI Number Information
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NPI Number | 1619919289
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Entity Type | Individual
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Provider Name | ALDO ANTHONY GHOBRIEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 890 ROCKWALL PKWY STE 110
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City | ROCKWALL
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State | TX
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Zip | 75032-6872
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Country | US
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Telephone | 972-276-6191
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Fax | 972-961-9550
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Provider Business Mailing Address
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Address Line | 3600 GASTON AVE SUITE 1205
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City | DALLAS
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State | TX
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Zip | 75246-1800
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Country | US
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Telephone | 214-692-8262
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Fax | 214-696-4190
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | L8063
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License Number State | TX
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