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General NPI Number Information
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NPI Number | 1366135162
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Entity Type | Organization
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Legal Business Name | MAHARISHI INTERNATIONAL UNIVERSITY
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 1100 N 4TH ST STE 143
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City | FAIRFIELD
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State | IA
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Zip | 52556-2169
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Country | US
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Telephone | 641-472-1270
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Fax | 641-472-1285
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Provider Business Mailing Address
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Address Line | 1100 N 4TH ST STE 143
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City | FAIRFIELD
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State | IA
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Zip | 52556-2169
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Country | US
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Telephone | 641-472-1270
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Fax | 641-472-1285
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JAWAHAR SUNDARAM
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Credential |
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Telephone | 641-472-1270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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