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General NPI Number Information
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NPI Number | 1659559664
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Entity Type | Organization
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Legal Business Name | GUSTAVO H DAY MD PA
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 7777 FOREST LN BUILDING B, SUITE 416
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City | DALLAS
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State | TX
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Zip | 75230-2505
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Country | US
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Telephone | 972-566-6764
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Fax | 972-566-6968
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Provider Business Mailing Address
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Address Line | 7777 FOREST LN STE B416
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City | DALLAS
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State | TX
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Zip | 75230-2566
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Country | US
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Telephone | 725-666-7649
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Fax | 972-566-6968
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Authorized Official
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Title or Position | CEO
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Name | GUSTAVO HORACIO DAY
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Credential | MD
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Telephone | 972-566-6764
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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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