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General NPI Number Information
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NPI Number | 1285833038
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Entity Type | Organization
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Legal Business Name | CENTERPOINT CARDIOLOGY SERVICES LLC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 19550 E 39TH ST S SUITE 225
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City | INDEPENDENCE
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State | MO
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Zip | 64057-2303
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Country | US
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Telephone | 816-228-2060
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Fax | 816-228-2077
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Provider Business Mailing Address
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Address Line | 19550 E 39TH ST S SUITE 225
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City | INDEPENDENCE
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State | MO
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Zip | 64057-2303
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Country | US
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Telephone | 816-228-2060
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Fax | 816-228-2077
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Authorized Official
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Title or Position | CEO
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Name | CAROLYN W CALDWELL
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Credential |
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Telephone | 816-698-7001
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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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