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General NPI Number Information
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NPI Number | 1699227298
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Entity Type | Organization
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Legal Business Name | PERINATOLOGY AND GENETICS PLLC
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Dates
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Enumeration Date | 10/30/2016
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Last Update Date | 10/30/2016
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Provider Practice Location Address
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Address Line | 6701 HERITAGE PKWY STE 145
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City | ROCKWALL
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State | TX
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Zip | 75087-8724
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Country | US
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Telephone | 914-471-7134
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Fax | 214-292-6556
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Provider Business Mailing Address
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Address Line | 6701 HERITAGE PKWY STE 145
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City | ROCKWALL
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State | TX
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Zip | 75087-8724
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Country | US
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Telephone | 914-471-7134
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Fax | 214-292-6556
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Authorized Official
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Title or Position | OWNER
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Name | DR. AVISHAI ALBERT ALKALAY
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Credential | M.D.
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Telephone | 914-471-7134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | P0949
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License Number State | TX
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