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General NPI Number Information
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NPI Number | 1013302132
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CLINIC OF COVINGTON, LLC
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 100 INNWOOD DR
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City | COVINGTON
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State | LA
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Zip | 70433-9254
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Country | US
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Telephone | 985-273-3035
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Fax | 985-273-3036
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Provider Business Mailing Address
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Address Line | 100 INNWOOD DR
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City | COVINGTON
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State | LA
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Zip | 70433-9254
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Country | US
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Telephone | 985-273-3035
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Fax | 985-273-3036
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BRENDA KAHN
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Credential |
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Telephone | 985-273-3035
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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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