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General NPI Number Information
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NPI Number | 1649125642
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Entity Type | Organization
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Legal Business Name | TVG MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 10465 MELODY DR STE 123
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City | NORTHGLENN
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State | CO
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Zip | 80234-4101
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Country | US
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Telephone | 718-819-6144
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Fax | 718-819-6145
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Provider Business Mailing Address
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Address Line | 3611 14TH AVE STE 550
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City | BROOKLYN
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State | NY
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Zip | 11218-3773
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JONATHAN GAMSS
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Credential | MD
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Telephone | 718-819-6144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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