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General NPI Number Information
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NPI Number | 1235202987
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Entity Type | Organization
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Legal Business Name | SEBASTIAN CARDIOLGY PA
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 8005 BAY ST SUITE 4
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City | SEBASTIAN
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State | FL
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Zip | 32958-3244
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Country | US
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Telephone | 772-589-9998
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Fax | 772-589-9889
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | BELLAIRE
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State | TX
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Zip | 77402-0128
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Country | US
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Telephone | 281-833-3330
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Fax | 281-833-3323
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ALDINO G CELLINI
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Credential | M.D.
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Telephone | 772-589-9998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 89938
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License Number State | FL
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