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General NPI Number Information
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NPI Number | 1831270818
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Entity Type | Organization
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Legal Business Name | GENERAL & VASCULAR SURGICAL SPECIALISTS, INC.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 11155 KENWOOD RD SUITE 6C
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City | CINCINNATI
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State | OH
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Zip | 45242-1845
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Country | US
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Telephone | 513-385-1919
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Fax | 513-385-6208
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Provider Business Mailing Address
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Address Line | 11155 KENWOOD RD SUITE 6C
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City | CINCINNATI
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State | OH
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Zip | 45242-1845
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Country | US
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Telephone | 513-385-1919
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Fax | 513-385-6208
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KRIS MAHALINGAM
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Credential | MD
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Telephone | 513-385-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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