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General NPI Number Information
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NPI Number | 1710788401
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Entity Type | Organization
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Legal Business Name | GASTROINTESTINAL SPECIALISTS, A.M.C.
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 3710 YOUREE DR
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City | SHREVEPORT
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State | LA
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Zip | 71105-2130
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Country | US
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Telephone | 318-631-9121
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Fax | 318-631-9126
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Provider Business Mailing Address
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Address Line | 3710 YOUREE DR
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City | SHREVEPORT
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State | LA
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Zip | 71105-2130
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Country | US
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Telephone | 318-631-9121
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Fax | 318-631-9126
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Authorized Official
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Title or Position | CFO
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Name | MRS. DENISE CANDLER SAVANT
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Credential |
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Telephone | 318-213-4960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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