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General NPI Number Information
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NPI Number | 1275727331
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Entity Type | Organization
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Legal Business Name | BATTLE CREEK SURGICAL, PC
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 215 E ROOSEVELT AVE
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City | BATTLE CREEK
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State | MI
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Zip | 49037-2828
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Country | US
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Telephone | 269-969-6126
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Fax | 269-969-6136
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Provider Business Mailing Address
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Address Line | 215 E ROOSEVELT AVE
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City | BATTLE CREEK
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State | MI
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Zip | 49037-2828
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Country | US
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Telephone | 269-969-6126
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Fax | 269-969-6136
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Authorized Official
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Title or Position | MANAGER
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Name | MS. BRIDGETT FRANKENSTEIN
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Credential |
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Telephone | 269-969-6126
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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 | 51010126660
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License Number State | MI
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