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General NPI Number Information
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NPI Number | 1861630493
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Entity Type | Organization
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Legal Business Name | REGIONAL DIGESTIVE CONSULTANTS PA
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 18955 N MEMORIAL DR STE 430
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City | HUMBLE
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State | TX
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Zip | 77338-4264
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Country | US
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Telephone | 281-528-1511
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Fax | 281-419-8485
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Provider Business Mailing Address
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Address Line | PO BOX 132889
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City | THE WOODLANDS
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State | TX
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Zip | 77393-2889
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Country | US
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Telephone | 281-528-1511
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Fax | 281-419-8485
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | SHAILAJA BEHARA
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Credential | MD
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Telephone | 281-528-1511
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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 | L1801
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License Number State | TX
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