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General NPI Number Information
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NPI Number | 1861696825
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Entity Type | Individual
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Provider Name | NEELAY RAMESH GANDHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/20/2021
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Provider Practice Location Address
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Address Line | 3535 VICTORY GROUP WAY STE 330
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City | FRISCO
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State | TX
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Zip | 75034-0310
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Country | US
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Telephone | 972-993-5070
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Fax | 972-993-5071
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Provider Business Mailing Address
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Address Line | 3535 VICTORY GROUP WAY STE 330
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City | FRISCO
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State | TX
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Zip | 75034-0310
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Country | US
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Telephone | 972-993-5070
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Fax | 972-993-5071
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10028449
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N7260
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License Number State | TX
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