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General NPI Number Information
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NPI Number | 1952824039
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Entity Type | Organization
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Legal Business Name | WHY WEIGHT BARIATRICS PLLC
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 06/12/2020
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Provider Practice Location Address
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Address Line | 475 ELM ST STE 203
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City | LEWISVILLE
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State | TX
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Zip | 75057-3704
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Country | US
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Telephone | 973-251-1132
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Fax |
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Provider Business Mailing Address
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Address Line | 13737 NOEL RD STE 1600
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City | DALLAS
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State | TX
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Zip | 75240-1374
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Country | US
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Telephone | 973-251-1132
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | KATHY KONDAS
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Credential |
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Telephone | 973-251-1132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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