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General NPI Number Information
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NPI Number | 1275562308
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Entity Type | Organization
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Legal Business Name | CLEAR LAKE CARDIOLOGY ASSOCIATES
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 450 MEDICAL CENTER BLVD SUITE 550
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City | WEBSTER
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State | TX
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Zip | 77598-4234
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Country | US
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Telephone | 281-338-2098
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Fax |
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Provider Business Mailing Address
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Address Line | 450 MEDICAL CENTER BLVD SUITE 550
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City | WEBSTER
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State | TX
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Zip | 77598-4234
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Country | US
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Telephone | 281-338-2098
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HARVEY E. SLUSKY
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Credential | M.D.
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Telephone | 281-338-2098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G5620
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License Number State | TX
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