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General NPI Number Information
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NPI Number | 1730285834
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Entity Type | Organization
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Legal Business Name | COLON & RECTAL ASSOCIATES OF NORTH TEXAS, P.A.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 3321 COLORADO BLVD
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City | DENTON
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State | TX
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Zip | 76210-6817
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Country | US
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Telephone | 940-382-7321
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Fax | 940-382-5453
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Provider Business Mailing Address
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Address Line | 3321 COLORADO BLVD
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City | DENTON
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State | TX
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Zip | 76210-6817
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Country | US
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Telephone | 940-382-7321
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Fax | 940-382-5453
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC ROMANUCCI
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Credential | M.D.
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Telephone | 940-382-7321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | M3076
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License Number State | TX
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