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General NPI Number Information
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NPI Number | 1215599428
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Entity Type | Organization
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Legal Business Name | ODYSSEY CARDIAC MONITORING LLC
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 8151 ROUTE 116
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City | HINESBURG
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State | VT
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Zip | 05461-9749
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Country | US
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Telephone | 239-590-5179
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Fax |
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Provider Business Mailing Address
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Address Line | 8151 ROUTE 116
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City | HINESBURG
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State | VT
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Zip | 05461-9749
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | WILL C FARMER
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Credential |
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Telephone | 239-590-5179
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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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