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General NPI Number Information
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NPI Number | 1326440744
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Entity Type | Organization
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Legal Business Name | US CARDIOVASCULAR LLC
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 6830 HEUERMANN ROAD
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City | SAN ANTONIO
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State | TX
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Zip | 78256-9603
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Country | US
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Telephone | 210-802-4350
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Fax | 210-802-4351
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Provider Business Mailing Address
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Address Line | P.O. BOX 384
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-6624
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Country | US
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Telephone | 845-217-2480
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Fax | 845-217-2481
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | MRS. JOANNE DELEON
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Credential |
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Telephone | 845-217-2480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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