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NPI 1851307698

NPI 1851307698 : GN PILLAI MD PA : AMARILLO, TX

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General NPI Number Information
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    NPI Number           |    1851307698
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    Entity Type          |    Organization 
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    Legal Business Name  |    GN PILLAI MD PA 
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Dates
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    Enumeration Date     |    08/01/2006
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    Last Update Date     |    11/16/2007
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Provider Practice Location Address
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    Address Line         |    6611 AMARILLO BLVD WEST 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79106-1755
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    Country              |    US
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    Telephone            |    806-358-8011
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    Fax                  |    806-358-2232
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Provider Business Mailing Address
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    Address Line         |    PO BOX 50206 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79159-0206
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    Country              |    US
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    Telephone            |    806-358-8011
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    Fax                  |    806-358-2232
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     NARAYANA GN PILLAI 
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    Credential           |    MD
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    Telephone            |    806-358-8011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QX0200X
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    Taxonomy Name        |    Oncology Clinic/Center
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    License Number       |    G1150
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    License Number State |    TX
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