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General NPI Number Information
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NPI Number | 1003870809
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Entity Type | Organization
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Legal Business Name | HILLCREST DIAGNOSTIC CARDIOLOGY
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 6780 MAYFIELD RD
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City | CLEVELAND
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State | OH
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Zip | 44124
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Country | US
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Telephone | 440-312-4399
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 OLD OAK BLVD
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City | CLEVELAND
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State | OH
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Zip | 44130-3343
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Country | US
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Telephone | 440-777-6300
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Fax | 440-777-2330
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROBERT BOTTI JR
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Credential | MD
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Telephone | 440-942-5400
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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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