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General NPI Number Information
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NPI Number | 1194051011
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Entity Type | Organization
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Legal Business Name | DADI CARDIAC CARE CENTER INC
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 10/30/2009
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Provider Practice Location Address
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Address Line | 10301 HAGEN RANCH RD B 550
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3724
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Country | US
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Telephone | 888-407-6166
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Fax | 954-692-3438
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Provider Business Mailing Address
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Address Line | 6735 ROYAL ORCHID CIRCLE
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City | DELRAY BEACH
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State | FL
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Zip | 33446-4338
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Country | US
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Telephone | 888-407-6166
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Fax | 954-692-3438
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Authorized Official
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Title or Position | OWNER
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Name | SHAUL S. DADI
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Credential | M.D.
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Telephone | 888-407-6166
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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 | ME70810
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License Number State | FL
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