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General NPI Number Information
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NPI Number | 1740108380
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Entity Type | Organization
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Legal Business Name | GWAN CRITICAL CARE PLLC
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 4835 LBJ FWY STE 900
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City | DALLAS
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State | TX
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Zip | 75244-6001
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Country | US
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Telephone | 469-420-5527
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Fax | 469-262-2163
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Provider Business Mailing Address
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Address Line | 4835 LBJ FWY STE 900
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City | DALLAS
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State | TX
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Zip | 75244-6001
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Country | US
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Telephone | 469-420-5527
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Fax | 469-262-2163
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Authorized Official
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Title or Position | MD
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Name | JEFFREY BERGER
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Credential |
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Telephone | 469-420-5527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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