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General NPI Number Information
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NPI Number | 1174274807
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR MEDICAL SERVICES PC
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 240 E 35TH ST APT 10
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City | NEW YORK
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State | NY
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Zip | 10016-4282
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Country | US
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Telephone | 844-654-6235
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Fax |
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Provider Business Mailing Address
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Address Line | 240 E 35TH ST APT 10
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City | NEW YORK
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State | NY
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Zip | 10016-4282
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Country | US
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Telephone | 844-654-6235
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HC GLICK
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Credential | MD
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Telephone | 844-654-6235
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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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