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General NPI Number Information
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NPI Number | 1205107646
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Entity Type | Organization
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Legal Business Name | BOCA RATON CARDIOLOGY
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Dates
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Enumeration Date | 01/17/2012
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 951 NW 13TH STREET SUITE 1-E
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City | BOCA RATON
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State | FL
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Zip | 33486
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Country | US
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Telephone | 561-368-1207
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Fax | 561-750-3615
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Provider Business Mailing Address
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Address Line | 951 NW 13TH STREET SUITE 1-E
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City | BOCA RATON
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State | FL
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Zip | 33486
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Country | US
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Telephone | 561-368-1207
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Fax | 561-750-3615
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN BABIC
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Credential | M.D.
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Telephone | 561-368-1207
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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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