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General NPI Number Information
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NPI Number | 1225194129
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Entity Type | Organization
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Legal Business Name | METROPOLITAN CARDIOLOGY P A
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 740 HOSPITAL DR STE 200
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City | BEAUMONT
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State | TX
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Zip | 77701-4663
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Country | US
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Telephone | 409-832-6200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12600
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City | BEAUMONT
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State | TX
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Zip | 77726-2600
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Country | US
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Telephone | 409-832-6200
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Fax | 409-832-6216
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHIMA CHRISTIAN NWAUKWA
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Credential | M.D.
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Telephone | 409-935-4003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | M4901
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License Number State | TX
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