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General NPI Number Information
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NPI Number | 1336016633
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR ENTERPRISES PLLC
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1349 S ROCHESTER RD STE 100
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3151
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Country | US
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Telephone | 248-759-5460
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Fax | 248-923-2446
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Provider Business Mailing Address
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Address Line | 1349 S ROCHESTER RD STE 100
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3151
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Country | US
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Telephone | 248-759-5460
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Fax | 248-923-2446
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Authorized Official
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Title or Position | CARDIOLOGY
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Name | DIVAKAR PAI
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Credential | MD
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Telephone | 248-759-5460
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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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