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General NPI Number Information
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NPI Number | 1336185602
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC CARDIOLOGY ASSOCIATES
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 715 E WESTERN RESERVE RD
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City | POLAND
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State | OH
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Zip | 44514-3358
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Country | US
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Telephone | 330-726-3204
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Fax | 330-729-9316
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Provider Business Mailing Address
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Address Line | 715 E WESTERN RESERVE RD
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City | POLAND
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State | OH
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Zip | 44514-3358
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Country | US
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Telephone | 330-726-3204
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Fax | 330-729-9316
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DEAN D ROMBACH
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Credential |
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Telephone | 330-726-3204
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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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