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General NPI Number Information
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NPI Number | 1164453643
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Entity Type | Organization
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Legal Business Name | CYPRESS COAST CARDIAC SURGEONS MEDICAL GROUP INC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 09/28/2007
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Provider Practice Location Address
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Address Line | 102 WILGART WAY
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City | SALINAS
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State | CA
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Zip | 93901
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Country | US
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Telephone | 831-759-1853
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10518
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City | SALINAS
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State | CA
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Zip | 93912-7518
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | GREGORY SPOWART
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Credential | MD
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Telephone | 831-759-1853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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