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General NPI Number Information
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NPI Number | 1285277723
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Entity Type | Organization
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Legal Business Name | CARDIOINNOVATION ASSOCIATES P LLC
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Dates
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Enumeration Date | 10/28/2019
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Last Update Date | 05/26/2020
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Provider Practice Location Address
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Address Line | 1912 N BRANDON AVE
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City | NORFOLK
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State | VA
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Zip | 23507-1116
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Country | US
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Telephone | 757-726-7216
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Fax |
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Provider Business Mailing Address
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Address Line | 1912 N BRANDON AVE
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City | NORFOLK
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State | VA
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Zip | 23507-1116
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Country | US
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Telephone | 757-201-9571
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Fax | 757-663-5662
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MOHIT BHASIN
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Credential |
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Telephone | 757-502-3547
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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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