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General NPI Number Information
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NPI Number | 1790778363
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Entity Type | Organization
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Legal Business Name | RAKESH N SAXENA MD PC
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Dates
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Enumeration Date | 08/29/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 311 E WARWICK DR
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City | ALMA
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State | MI
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Zip | 48801-1013
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Country | US
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Telephone | 989-463-4976
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Fax | 989-463-2249
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Provider Business Mailing Address
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Address Line | 311 E WARWICK DR
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City | ALMA
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State | MI
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Zip | 48801-1013
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Country | US
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Telephone | 989-463-4976
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Fax | 989-463-2249
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAKESH N SAXENA
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Credential | MD
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Telephone | 989-463-4976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0419873 (INACTIVE)
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 82307 (INACTIVE LIC)
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4310032524 (ACTIVE)
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License Number State | MI
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