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General NPI Number Information
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NPI Number | 1225235518
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Entity Type | Organization
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Legal Business Name | ST. FRANCIS CARDIAC PREVENTION, P.C.
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 11/14/2008
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Provider Practice Location Address
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Address Line | 1 NORTHERN BLVD
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City | GREENVALE
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State | NY
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Zip | 11548-1203
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Country | US
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Telephone | 516-629-2484
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Fax | 516-629-2027
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Provider Business Mailing Address
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Address Line | PO BOX 1034
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-1034
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Country | US
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Telephone | 516-629-2484
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Fax | 516-629-2027
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN GUERCI
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Credential | M.D.
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Telephone | 516-629-2081
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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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