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General NPI Number Information
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NPI Number | 1235398678
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR DIAGNOSTIC SERVICES
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 1201 MAIN ST STE. 1980
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City | COLUMBIA
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State | SC
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Zip | 29201-3299
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Country | US
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Telephone | 803-748-1256
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Fax | 803-754-2900
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Provider Business Mailing Address
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Address Line | 1201 MAIN ST STE. 1980
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City | COLUMBIA
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State | SC
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Zip | 29201-3299
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Country | US
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Telephone | 803-748-1256
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Fax | 803-754-2900
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Authorized Official
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Title or Position | CEO
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Name | MR. EUGENE F SCHWARZ
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Credential | M.D.
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Telephone | 803-754-2600
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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 | 10508
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License Number State | SC
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