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General NPI Number Information
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NPI Number | 1033147038
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Entity Type | Organization
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Legal Business Name | CARDIA HEART RECIRCULATION MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 12/27/2013
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Provider Practice Location Address
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Address Line | 2270 BACON ST
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City | CONCORD
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State | CA
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Zip | 94520-2022
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Country | US
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Telephone | 925-938-5400
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Fax | 925-938-5401
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Provider Business Mailing Address
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Address Line | 2270 BACON ST
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City | CONCORD
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State | CA
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Zip | 94520-2022
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Country | US
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Telephone | 925-938-5400
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Fax | 925-938-5401
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Authorized Official
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Title or Position | OWNER
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Name | JOHN TOTH
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Credential | D.O.
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Telephone | 925-938-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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