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General NPI Number Information
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NPI Number | 1699514950
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Entity Type | Organization
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Legal Business Name | GARDUNO FAMILY MEDICINE, P.L.L.C.
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 9925 GILLESPIE DR STE 1300
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City | PLANO
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State | TX
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Zip | 75025-1100
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Country | US
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Telephone | 469-871-0265
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Fax | 469-871-0266
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Provider Business Mailing Address
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Address Line | 9925 GILLESPIE DR STE 1300
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City | PLANO
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State | TX
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Zip | 75025-1100
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Country | US
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Telephone | 469-871-0265
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Fax | 469-871-0266
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. ABEL GARDUNO JR.
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Credential | M.D.
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Telephone | 469-871-0265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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