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General NPI Number Information
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NPI Number | 1295929891
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Entity Type | Organization
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Legal Business Name | COLLIER MEDICAL SPECIALISTS, INC
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 6615 HILLWAY CIR STE 200
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City | NAPLES
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State | FL
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Zip | 34112-8755
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Country | US
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Telephone | 239-774-0345
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Fax | 239-774-1783
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Provider Business Mailing Address
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Address Line | 6615 HILLWAY CIRCLE STE 200
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City | NAPLES
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State | FL
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Zip | 34112-8755
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Country | US
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Telephone | 239-774-0345
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Fax | 239-774-1783
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RAJEEV PREM RAJANI
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Credential | M.D.
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Telephone | 239-774-0345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME99073
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License Number State | FL
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