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General NPI Number Information
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NPI Number | 1134192941
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Entity Type | Organization
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Legal Business Name | CARDIAC CARE ASSOCIATES PC
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 85 SEYMOUR ST SUITE 805
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City | HARTFORD
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State | CT
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Zip | 06106-5501
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Country | US
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Telephone | 860-249-9175
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Fax | 860-249-7866
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Provider Business Mailing Address
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Address Line | 85 SEYMOUR ST SUITE 805
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City | HARTFORD
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State | CT
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Zip | 06106-5501
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Country | US
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Telephone | 860-249-9175
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Fax | 860-249-7866
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE MILES PARELES
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Credential | M.D.
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Telephone | 860-249-9175
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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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