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General NPI Number Information
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NPI Number | 1194900332
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIO DIAGNOSTIC PLLC
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 1384 EAST 19TH ST SUITE 1
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City | BROOKLYN
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State | NY
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Zip | 11230
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Country | US
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Telephone | 718-336-3033
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Fax | 718-336-3006
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Provider Business Mailing Address
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Address Line | 134 67TH STREET
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City | BROOKLYN
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State | NY
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Zip | 11220-4822
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Country | US
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Telephone | 718-336-3033
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Fax | 718-336-3006
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Authorized Official
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Title or Position | SOLE OWNER OF PLLC
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Name | DR. EUGENE SHTEERMAN
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Credential | MD
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Telephone | 718-336-3033
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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 | 219418
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License Number State | NY
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