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General NPI Number Information
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NPI Number | 1124225362
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Entity Type | Organization
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Legal Business Name | WEST BANK CARDIOLOGY LLC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 59335 RIVER WEST DRIVE SUITES C&D
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City | PLAQUEMINE
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State | LA
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Zip | 70764
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Country | US
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Telephone | 225-685-1052
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Fax | 225-685-1081
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Provider Business Mailing Address
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Address Line | 59335 RIVER WEST DRIVE SUITES C&D
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City | PLAQUEMINE
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State | LA
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Zip | 70764
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Country | US
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Telephone | 225-685-1052
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Fax | 225-685-1081
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH VALDEZ
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Credential |
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Telephone | 225-685-1052
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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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