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General NPI Number Information
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NPI Number | 1881534501
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Entity Type | Organization
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Legal Business Name | ADVANCED SOUTHERN GASTROENTEROLOGY PLLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 5210 FM 1463 RD
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City | FULSHEAR
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State | TX
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Zip | 77494-5668
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Country | US
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Telephone | 630-995-9290
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Fax |
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Provider Business Mailing Address
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Address Line | 27211 ASHFORD SKY LN
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City | KATY
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State | TX
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Zip | 77494-3715
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AMIR R AHMED
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Credential | MD
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Telephone | 630-995-9290
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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 |
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License Number State |
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