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General NPI Number Information
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NPI Number | 1396135927
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MEDICAL CARE PC
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 02/04/2015
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Provider Practice Location Address
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Address Line | 3600 CAPITAL AVE SW SUITE 204
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City | BATTLE CREEK
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State | MI
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Zip | 49015-9393
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Country | US
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Telephone | 269-441-1000
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Fax | 269-441-1002
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Provider Business Mailing Address
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Address Line | 3600 CAPITAL AVE SW SUITE 204
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City | BATTLE CREEK
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State | MI
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Zip | 49015-9393
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Country | US
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Telephone | 269-441-1000
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Fax | 269-441-1002
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Authorized Official
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Title or Position | MD
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Name | DR. RAAKESH CHANDRA BHAN
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Credential | MD
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Telephone | 269-441-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 4301048458
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License Number State | MI
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