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General NPI Number Information
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NPI Number | 1851570774
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Entity Type | Organization
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Legal Business Name | ANDREW GOTTESMAN, M.D., P.A.
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 7515 GREENVILLE AVE SUITE 706
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City | DALLAS
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State | TX
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Zip | 75231-3831
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Country | US
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Telephone | 214-360-9877
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Fax | 214-360-9256
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Provider Business Mailing Address
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Address Line | 7515 GREENVILLE AVE SUITE 706
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City | DALLAS
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State | TX
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Zip | 75231-3831
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Country | US
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Telephone | 214-360-9877
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Fax | 214-360-9256
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW R. GOTTESMAN
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Credential | M.D.
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Telephone | 214-360-9877
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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 | J2583
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License Number State | TX
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