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General NPI Number Information
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NPI Number | 1275584401
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Entity Type | Organization
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Legal Business Name | CARDIAC DIAGNOSTIC ASSOCIATES, PC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 05/06/2010
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Provider Practice Location Address
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Address Line | 25 MONUMENT RD SUITE 200
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City | YORK
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State | PA
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Zip | 17403-5060
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Country | US
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Telephone | 717-851-2441
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Fax | 717-812-4867
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Provider Business Mailing Address
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Address Line | 25 MONUMENT RD SUITE 200
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City | YORK
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State | PA
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Zip | 17403-5060
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Country | US
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Telephone | 717-851-2441
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Fax | 717-812-4867
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Authorized Official
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Title or Position | CREDENTIALING SUPERVISOR
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Name | AMY F WILKINSON
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Credential |
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Telephone | 717-851-1405
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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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