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General NPI Number Information
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NPI Number | 1265458756
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Entity Type | Organization
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Legal Business Name | VALLEY CARDIOLOGY P C
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 4884 BERL DR
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City | SAGINAW
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State | MI
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Zip | 48604-2802
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Country | US
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Telephone | 989-497-9395
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Fax | 989-497-9599
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Provider Business Mailing Address
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Address Line | 4884 BERL DR
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City | SAGINAW
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State | MI
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Zip | 48604-2802
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Country | US
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Telephone | 989-497-9395
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Fax | 989-497-9599
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. UMESH BADAMI
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Credential | M D
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Telephone | 989-497-9395
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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 | MI
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Taxonomy #2
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State | MI
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