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General NPI Number Information
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NPI Number | 1700846060
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Entity Type | Organization
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Legal Business Name | DURHAM GASTROENTEROLOGY CONSULTANTS PA
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 249 E NC HIGHWAY 54 STE 200
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City | DURHAM
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State | NC
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Zip | 27713
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Country | US
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Telephone | 919-806-8322
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Fax | 919-433-0409
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Provider Business Mailing Address
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Address Line | 249 E NC HIGHWAY 54 STE 200
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City | DURHAM
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State | NC
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Zip | 27713
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Country | US
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Telephone | 919-806-8322
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Fax | 919-433-0409
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | BARBARA WELLS BRAZER
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Credential |
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Telephone | 919-806-8322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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