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NPI 1780681411

NPI 1780681411 : GANA R NADIGA MD : MARSHALL, TX

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General NPI Number Information
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    NPI Number           |    1780681411
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    Entity Type          |    Individual 
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    Provider Name        |    GANA R NADIGA MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/07/2005
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    Last Update Date     |    08/22/2022
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Provider Practice Location Address
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    Address Line         |    405 E PINECREST DR UNIT A 
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    City                 |    MARSHALL
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    State                |    TX
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    Zip                  |    75670-7200
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    Country              |    US
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    Telephone            |    903-938-8581
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    Fax                  |    903-938-9409
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Provider Business Mailing Address
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    Address Line         |    405 E PINECREST DR UNIT A 
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    City                 |    MARSHALL
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    State                |    TX
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    Zip                  |    75670-7200
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    Country              |    US
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    Telephone            |    903-938-8581
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    Fax                  |    903-938-9409
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    L9824
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    License Number State |    TX
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