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General NPI Number Information
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NPI Number | 1760575427
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Entity Type | Organization
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Legal Business Name | MALGORZATA T. GAJDA, M.D., F.A.A.P., P.A.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 3305 N. CALAIS STREET, STE. 300
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City | SHERMAN
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State | TX
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Zip | 75090-1796
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Country | US
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Telephone | 903-957-0050
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Fax | 903-957-0050
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Provider Business Mailing Address
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Address Line | 3305 N. CALAIS STREET, STE. 300
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City | SHERMAN
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State | TX
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Zip | 75090-1796
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Country | US
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Telephone | 903-957-0050
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Fax | 903-957-0057
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | KRZYSZTOF JOZEF GAJDA
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Credential | MBA
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Telephone | 903-957-0050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K4893
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License Number State | TX
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