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General NPI Number Information
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NPI Number | 1205136850
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Entity Type | Organization
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Legal Business Name | PARAMOUNT CARDIOVASCULAR CONSULTANTS, L.L.C.
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Dates
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Enumeration Date | 10/29/2010
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 4242 HIGHWAY 19 BUILDING 3, SUITE C
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City | ZACHARY
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State | LA
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Zip | 70791-3910
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Country | US
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Telephone | 337-680-4877
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Fax |
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Provider Business Mailing Address
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Address Line | 339 WORTH AVE
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City | LAFAYETTE
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State | LA
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Zip | 70508-6636
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Country | US
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Telephone | 337-680-4877
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CHRISTOPHER MALLAVARAPU
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Credential | M.D.
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Telephone | 337-680-4877
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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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