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General NPI Number Information
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NPI Number | 1184675506
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Entity Type | Organization
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Legal Business Name | CARDIAC EVALUATION SERVICES INC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2063 SOUTH 116TH STREET
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City | MILWAUKEE
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State | WI
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Zip | 53227
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Country | US
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Telephone | 800-876-1919
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Fax | 414-545-4126
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Provider Business Mailing Address
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Address Line | PO BOX 727
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City | WINDSOR
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State | CT
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Zip | 06095-0727
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Country | US
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Telephone | 800-367-1095
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Fax | 860-602-4749
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. ROBERT E SASS JR.
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Credential |
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Telephone | 860-298-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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