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General NPI Number Information
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NPI Number | 1275784597
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR DISEASES GROUP, PLLC
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 1720 GUNBARREL RD STE 306
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3192
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Country | US
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Telephone | 423-894-1977
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Fax | 423-899-2485
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Provider Business Mailing Address
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Address Line | 1720 GUNBARREL RD STE 306
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3192
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Country | US
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Telephone | 423-894-1977
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Fax | 423-899-2485
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Authorized Official
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Title or Position | OWNER
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Name | CALVIN A BELL
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Credential | MD
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Telephone | 423-894-1977
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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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