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General NPI Number Information
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NPI Number | 1295359032
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Entity Type | Organization
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Legal Business Name | CARING PEDIATRIC PARTNERS PC
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Dates
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Enumeration Date | 06/06/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 4684 WENMAR DR
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City | SAGINAW
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State | MI
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Zip | 48604-2817
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Country | US
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Telephone | 989-793-1095
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 FOXWOOD DR
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City | MIDLAND
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State | MI
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Zip | 48642-7107
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Country | US
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Telephone | 989-392-7600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GAYATRI KRISHNAMURTHY SHANKER
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Credential | MD
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Telephone | 989-392-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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