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General NPI Number Information
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NPI Number | 1821112616
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Entity Type | Individual
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Provider Name | BRIGANI GARGOLLO AMANTE M.D., P.T.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2007
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 25329 INTERSTATE 45 STE 129
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City | THE WOODLANDS
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State | TX
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Zip | 77380-3439
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Country | US
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Telephone | 464-781-2223
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Fax | 346-478-1222
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Provider Business Mailing Address
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Address Line | 25329 INTERSTATE 45 STE 129
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City | THE WOODLANDS
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State | TX
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Zip | 77380-3439
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Country | US
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Telephone | 346-478-1222
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Fax | 346-478-1222
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R6732
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | DR.0056152
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1168543
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R6732
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License Number State | TX
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