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General NPI Number Information
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NPI Number | 1174955355
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR DIAGNOSTICS, INC.
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Dates
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Enumeration Date | 07/30/2013
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Last Update Date | 07/30/2013
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Provider Practice Location Address
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Address Line | 6032 S HALSTED ST SUITE 113
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City | CHICAGO
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State | IL
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Zip | 60621-2112
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Country | US
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Telephone | 773-651-9393
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Fax | 733-651-9894
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Provider Business Mailing Address
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Address Line | 6032 S HALSTED ST SUITE 113
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City | CHICAGO
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State | IL
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Zip | 60621-2112
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Country | US
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Telephone | 773-651-9393
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Fax | 733-651-9894
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MUHAMMED ALIU
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Credential | RCS
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Telephone | 630-379-1464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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