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General NPI Number Information
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NPI Number | 1063414258
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Entity Type | Organization
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Legal Business Name | BOSTON SCIENTIFIC CARDIAC DIAGNOSTIC SERVICES, LLC
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 1717 N SAM HOUSTON PKWY W STE 100
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City | HOUSTON
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State | TX
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Zip | 77038-1324
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Country | US
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Telephone | 281-760-0500
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Fax | 866-747-4799
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Provider Business Mailing Address
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Address Line | 1717 N SAM HOUSTON PKWY W STE 100
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City | HOUSTON
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State | TX
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Zip | 77038-1324
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Country | US
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Telephone | 281-760-0500
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Fax | 866-747-4799
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. TONY FIOLA
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Credential |
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Telephone | 651-260-4411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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