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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI Number | 1821082702 |
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| LBN Legal business name | CLARKSVILLE ENDOSCOPY CENTER | ||||||||
| Authorized official | EDWIN GLASSELL - (MD) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/07/2005 | ||||||||
| Last updated | 06/13/2008 - About 18 years ago | ||||||||
| Identifiers |
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CLARKSVILLE ENDOSCOPY CENTER
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CLARKSVILLE ENDOSCOPY CENTER