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General NPI Number Information
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NPI Number | 1629242698
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Entity Type | Organization
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Legal Business Name | DIGESTIVE ASSOCIATES LLP
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Dates
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Enumeration Date | 04/21/2008
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 2031 MCDANIEL ST STE 140
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-6308
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Country | US
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Telephone | 702-633-0207
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Fax | 702-633-5099
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Provider Business Mailing Address
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Address Line | 2031 MCDANIEL ST STE 140
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-6308
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Country | US
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Telephone | 702-633-0207
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Fax | 702-633-5099
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | RANADEV MUKHERJEE
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Credential | MD
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Telephone | 702-204-0435
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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 | 9886
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License Number State | NV
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