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General NPI Number Information
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NPI Number | 1306963020
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Entity Type | Organization
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Legal Business Name | BATTLE CREEK ENDOSCOPY & SURGERY LLC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 3770 CAPITAL AVE SW
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City | BATTLE CREEK
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State | MI
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Zip | 49015-9411
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Country | US
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Telephone | 269-441-1755
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Fax | 269-441-1756
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Provider Business Mailing Address
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Address Line | 3770 CAPITAL AVE SW STE C
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City | BATTLE CREEK
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State | MI
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Zip | 49015-9411
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Country | US
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Telephone | 269-441-1755
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Fax |
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | DR. SRIDHAR CHALASANI
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Credential | MD
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Telephone | 269-441-1755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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