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General NPI Number Information
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NPI Number | 1033174453
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Entity Type | Organization
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Legal Business Name | HEART & VASCULAR CENTER OF SARASOTA INC
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 1851 HAWTHORNE STREET
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City | SARASOTA
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State | FL
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Zip | 34239-2945
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Country | US
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Telephone | 941-365-0433
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Fax | 941-954-2064
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Provider Business Mailing Address
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Address Line | PO BOX 5699
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City | SARASOTA
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State | FL
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Zip | 34277-5699
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Country | US
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Telephone | 941-365-0433
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Fax | 941-954-2064
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Authorized Official
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Title or Position | STAFF PHYSICIAN
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Name | DR. CLAYTON E BREDLAU
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Credential | M.D.
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Telephone | 941-365-0433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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