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General NPI Number Information
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NPI Number | 1790706067
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Entity Type | Organization
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Legal Business Name | DALLAS GASTROENTEROLOGY ASSOCIATES P A
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 4323 N JOSEY LN STE 204
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City | CARROLLTON
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State | TX
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Zip | 75010-4619
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Country | US
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Telephone | 972-820-7455
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Fax | 972-820-7640
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Provider Business Mailing Address
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Address Line | PO BOX 118377
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City | CARROLLTON
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State | TX
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Zip | 75011-8377
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Country | US
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Telephone | 972-820-7455
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Fax | 972-820-7640
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Authorized Official
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Title or Position | PRESIDENT
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Name | SYED MUHAMMAD OQAIL
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Credential | M.D
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Telephone | 972-820-7455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | J6196
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License Number State | TX
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