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General NPI Number Information
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NPI Number | 1164398624
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR INSTITUTE OF THE SOUTH, LLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 225 DUNN ST
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City | HOUMA
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State | LA
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Zip | 70360-4440
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Country | US
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Telephone | 985-876-0300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4176
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City | HOUMA
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State | LA
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Zip | 70361-4176
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Country | US
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Telephone | 985-872-5864
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Fax | 985-872-0317
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Authorized Official
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Title or Position | CHIEF STRATEGY OFFICER
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Name | NICKOLAS C ZAUNBRECHER
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Credential |
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Telephone | 337-291-4834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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