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General NPI Number Information
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NPI Number | 1871019869
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Entity Type | Organization
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Legal Business Name | GI CARE CONSULTANTS, PLLC
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 08/21/2017
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Provider Practice Location Address
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Address Line | 225 ABRAHAM FLEXNER WAY STE 402
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City | LOUISVILLE
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State | KY
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Zip | 40202-1850
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Country | US
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Telephone | 502-594-9004
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Fax |
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Provider Business Mailing Address
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Address Line | 6405 LIME RIDGE CT
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City | LOUISVILLE
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State | KY
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Zip | 40222-6368
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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 | OWNER
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Name | RAJA KAIKAUS
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Credential | MD
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Telephone | 502-594-9004
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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 |
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License Number State |
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