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General NPI Number Information
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NPI Number | 1245740596
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Entity Type | Organization
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Legal Business Name | CONTINUING CARDIAC CARE, LLC
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Dates
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Enumeration Date | 10/01/2017
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 575 SOUTHLAND DR
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City | VESTAVIA
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State | AL
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Zip | 35226-3732
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Country | US
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Telephone | 205-999-1016
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 11407 DEPT #8006
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City | BIRMINGHAM
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State | AL
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Zip | 35246-8006
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Country | US
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Telephone | 205-999-1016
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURA R BYRD
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Credential |
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Telephone | 205-999-1016
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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 |
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License Number State |
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