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General NPI Number Information
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NPI Number | 1831190032
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Entity Type | Individual
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Provider Name | GULSHAN K MINOCHA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 2700 CITIZENS PLZ SUITE 406
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City | VICTORIA
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State | TX
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Zip | 77901-5754
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Country | US
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Telephone | 361-572-0000
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Fax | 361-574-1787
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Provider Business Mailing Address
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Address Line | 2700 CITIZENS PLZ SUITE 406
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City | VICTORIA
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State | TX
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Zip | 77901-5754
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Country | US
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Telephone | 361-572-0000
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Fax | 361-574-1787
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | F6044
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License Number State | TX
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