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General NPI Number Information
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NPI Number | 1023073525
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CONSULTANTS LTD
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 3805 E BELL RD SUITE 3100
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City | PHOENIX
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State | AZ
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Zip | 85032
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Country | US
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Telephone | 267-483-7534
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Fax | 833-705-6301
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Provider Business Mailing Address
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Address Line | PO BOX 98819
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City | LAS VEGAS
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State | NV
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Zip | 89193
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Country | US
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Telephone | 602-494-3659
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Fax | 602-867-3862
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Authorized Official
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Title or Position | CEO
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Name | CHRISTY HADEN
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Credential |
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Telephone | 520-508-7829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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