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General NPI Number Information
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NPI Number | 1982758603
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Entity Type | Organization
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Legal Business Name | MORRISTOWN GASTROENTEROLOGY, P.C
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 04/05/2013
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Provider Practice Location Address
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Address Line | 705 N HIGH ST SUITE A
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City | MORRISTOWN
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State | TN
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Zip | 37814-3876
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Country | US
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Telephone | 423-587-0860
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Fax | 423-586-1027
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Provider Business Mailing Address
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Address Line | 705 N HIGH ST SUITE A
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City | MORRISTOWN
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State | TN
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Zip | 37814-3876
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Country | US
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Telephone | 423-587-0860
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Fax | 423-586-1027
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Authorized Official
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Title or Position | OWNER
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Name | DR. SIVA MARAN
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Credential | M.D.
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Telephone | 423-587-0860
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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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