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General NPI Number Information
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NPI Number | 1245694496
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Entity Type | Organization
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Legal Business Name | SJ SC CARDIOLOGY LLC
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 1326 EISENHOWER DR BLDG 2
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City | SAVANNAH
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State | GA
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Zip | 31406-3928
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Country | US
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Telephone | 912-527-5300
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Fax | 912-527-5154
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Provider Business Mailing Address
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Address Line | 602 E 72ND ST
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City | SAVANNAH
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State | GA
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Zip | 31405-4913
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Country | US
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Telephone | 912-303-3560
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Fax | 912-303-3506
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Authorized Official
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Title or Position | PRESIDENT/ CEO
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Name | PAUL HINCHEY
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Credential |
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Telephone | 912-819-6901
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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 | 060679
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License Number State | GA
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