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General NPI Number Information
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NPI Number | 1821645458
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Entity Type | Organization
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Legal Business Name | RS SURGICAL
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Dates
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Enumeration Date | 08/19/2019
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 1800 N FEDERAL HWY STE 101
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1011
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Country | US
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Telephone | 954-807-9545
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Fax |
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Provider Business Mailing Address
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Address Line | 4608 SWILCAN BRIDGE LN S
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City | JACKSONVILLE
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State | FL
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Zip | 32224-5620
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Country | US
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Telephone |
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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. MANPREET SINGH GREWAL
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Credential | MD
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Telephone | 904-655-4387
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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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