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General NPI Number Information
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NPI Number | 1124189519
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Entity Type | Organization
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Legal Business Name | BUCKS COUNTY CARDIOTHORACIC SURGERY, P.C.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 120 WHITE HORSE PIKE STE 103
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1938
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Country | US
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Telephone | 267-483-5490
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Fax | 267-483-5504
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Provider Business Mailing Address
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Address Line | 2370 YORK RD STE A9D
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City | JAMISON
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State | PA
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Zip | 18929-1031
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Country | US
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Telephone | 267-483-5490
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Fax | 267-483-5496
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | SUSAN SLACK
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Credential |
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Telephone | 267-483-5490
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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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