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General NPI Number Information
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NPI Number | 1003280660
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIOVASCULAR DIAGNOSTIC
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Dates
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Enumeration Date | 11/19/2015
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 6565 WEST LOOP S SUITE 300
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City | BELLAIRE
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State | TX
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Zip | 77401-3500
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Country | US
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Telephone | 713-669-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 6565 WEST LOOP S SUITE 300
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City | BELLAIRE
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State | TX
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Zip | 77401-3500
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Country | US
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Telephone | 713-669-1242
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | KIMBERLY JONES
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Credential |
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Telephone | 713-669-1242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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