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General NPI Number Information
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NPI Number | 1508847906
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Entity Type | Organization
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Legal Business Name | COLON AND RECTAL SURGERY CENTER PC
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 3770 CAPITAL AVE SW STE A
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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 | 269-441-1771
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Fax | 269-441-1773
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Provider Business Mailing Address
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Address Line | 3770 CAPITAL AVE SW STE A
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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 | 269-441-1771
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Fax | 269-441-1773
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAHESH C KARAMCHANDANI
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Credential | MD
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Telephone | 269-441-1771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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