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General NPI Number Information
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NPI Number | 1245245877
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Entity Type | Organization
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Legal Business Name | CVI MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2660 GRANT RD
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4315
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Country | US
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Telephone | 650-969-8600
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Fax | 650-969-2807
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Provider Business Mailing Address
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Address Line | 2660 GRANT RD
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4315
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Country | US
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Telephone | 650-969-8600
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Fax | 650-969-2807
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Authorized Official
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Title or Position | CHIEF ADMINISTRATOR
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Name | MS. JULIE WOODWORTH
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Credential |
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Telephone | 650-969-8600
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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 | FNP22375
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | FNP22375
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License Number State | CA
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