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General NPI Number Information
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NPI Number | 1134329733
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Entity Type | Organization
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Legal Business Name | AMBULATORY ECG SERVICES LTD
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 1056 DRIFTWOOD CT APT B2
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City | WHEELING
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State | IL
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Zip | 60090-2553
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Country | US
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Telephone | 847-217-0957
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Fax | 847-947-7739
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Provider Business Mailing Address
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Address Line | 1056 DRIFTWOOD CT APT B2
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City | WHEELING
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State | IL
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Zip | 60090-2553
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Country | US
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Telephone | 847-217-0957
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Fax | 847-947-7739
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. IGOR YAVNOSHAN
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Credential |
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Telephone | 847-217-0957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number |
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License Number State |
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