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General NPI Number Information
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NPI Number | 1083886527
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY CONSULTANTS OF TEXAS
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 621 N HALL ST SUITE 400
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City | DALLAS
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State | TX
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Zip | 75226-1339
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Country | US
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Telephone | 214-596-2870
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 660080
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City | DALLAS
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State | TX
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Zip | 75266-0080
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DEBORAH GRAMBLING
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Credential |
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Telephone | 214-824-8721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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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 | 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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