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General NPI Number Information
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NPI Number | 1629336474
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Entity Type | Individual
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Provider Name | ANGELA GITA KAZA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 455 SCHOOL ST STE 10
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City | TOMBALL
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State | TX
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Zip | 77375-4594
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Country | US
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Telephone | 281-351-5409
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Fax | 281-351-2803
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Provider Business Mailing Address
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Address Line | 7010 SMOKE RANCH RD STE 120
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City | LAS VEGAS
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State | NV
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Zip | 89128-8399
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Country | US
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Telephone | 725-223-0995
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 21891
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036165388
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | V2894
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License Number State | TX
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