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General NPI Number Information
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NPI Number | 1275848921
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL DIAGNOSTIC SERVICES LLC
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Dates
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Enumeration Date | 08/18/2010
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Last Update Date | 08/18/2010
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Provider Practice Location Address
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Address Line | 9870 REDHILL DR
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City | CINCINNATI
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State | OH
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Zip | 45242-5627
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Country | US
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Telephone | 513-745-5000
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Fax | 513-791-7800
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Provider Business Mailing Address
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Address Line | 4380 MALSBARY RD SUITE 200
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City | CINCINNATI
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State | OH
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Zip | 45242-5644
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Country | US
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Telephone | 513-366-4481
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Fax | 513-366-4480
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICIER
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Name | MR. CHRIS M RUSCITTO
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Credential |
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Telephone | 513-366-4945
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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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