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General NPI Number Information
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NPI Number | 1700263621
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Entity Type | Organization
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Legal Business Name | NORTHEAST TEXAS SURGICAL SPECIALISTS PLLC
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Dates
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Enumeration Date | 04/29/2015
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 2001 N JEFFERSON AVE SUITE 211
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-2338
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Country | US
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Telephone | 903-577-0784
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Fax | 903-577-8984
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Provider Business Mailing Address
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Address Line | P.O. BOX 15584
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City | BELFAST
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State | ME
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Zip | 04915-4050
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Country | US
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Telephone | 903-577-0784
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Fax | 903-577-8984
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Authorized Official
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Title or Position | OWNER/MD
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Name | DR. GREGGORY N ANGIER
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Credential | MD
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Telephone | 903-577-0784
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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 |
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License Number State |
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