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General NPI Number Information
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NPI Number | 1972500098
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Entity Type | Individual
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Provider Name | MARY GAIL MIESCH M.D., F.A.C.O.G.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 945 S COLLEGIATE DR
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City | PARIS
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State | TX
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Zip | 75460-6307
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Country | US
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Telephone | 903-784-1141
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Fax | 903-784-6198
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Provider Business Mailing Address
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Address Line | 945 S COLLEGIATE DR
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City | PARIS
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State | TX
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Zip | 75460-6307
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Country | US
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Telephone | 903-784-1141
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Fax | 903-784-6198
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | H7081
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License Number State | TX
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