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General NPI Number Information
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NPI Number | 1932167707
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Entity Type | Organization
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Legal Business Name | COMPUTER HEALTH SERVICES PC
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 05/15/2014
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Provider Practice Location Address
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Address Line | 233 FULTON ST E SUITE 28
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-3200
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Country | US
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Telephone | 616-458-6967
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Fax | 616-458-6991
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Provider Business Mailing Address
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Address Line | 233 FULTON ST E SUITE 28
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-3200
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Country | US
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Telephone | 616-458-6967
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Fax | 616-458-6991
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KYLE A RASIKAS
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Credential |
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Telephone | 616-458-6967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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