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General NPI Number Information
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NPI Number | 1104908078
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Entity Type | Organization
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Legal Business Name | CARDIAC INTERPRETATION SERVICES, LLC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 101 CARNIE BLVD HEART STATION-VIRTUA HEALTH SYSTEM
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City | VOORHEES
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State | NJ
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Zip | 08043-1548
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Country | US
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Telephone | 856-325-3492
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Fax |
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Provider Business Mailing Address
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Address Line | 76 E EUCLID AVE
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City | HADDONFIELD
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State | NJ
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Zip | 08033-2330
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Country | US
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Telephone | 856-795-0099
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Fax | 856-795-9575
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN FOX
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Credential |
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Telephone | 856-795-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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