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General NPI Number Information
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NPI Number | 1235144601
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Entity Type | Organization
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Legal Business Name | CENTER FOR CARDIOTHORACIC SURGERY, INC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 10004 KENNERLY RD SUITE 165B
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2141
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Country | US
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Telephone | 314-543-5268
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Fax | 314-543-5202
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Provider Business Mailing Address
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Address Line | 13218 HAWKSHEAD CT
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City | SAINT LOUIS
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State | MO
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Zip | 63131-1050
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Country | US
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Telephone | 314-439-0368
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Fax | 314-439-0368
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HON CHI SUEN
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Credential | MD
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Telephone | 314-439-0368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 112379
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License Number State | MO
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