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General NPI Number Information
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NPI Number | 1356629604
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Entity Type | Organization
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Legal Business Name | ADVANCED PREVENTATIVE CARDIOLOGY INC
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 11/16/2012
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Provider Practice Location Address
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Address Line | 650 SPRING HILL RING ROAD STE 2000
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City | WEST DUNDEE
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State | IL
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Zip | 60118-1297
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Country | US
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Telephone | 847-654-1281
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Fax | 888-396-4184
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Provider Business Mailing Address
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Address Line | 117 S COOK ST # 180
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City | BARRINGTON
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State | IL
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Zip | 60010-4311
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Country | US
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Telephone | 847-654-1281
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Fax | 847-890-7991
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Authorized Official
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Title or Position | OWNER
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Name | AGNIESZKA J SILBERT
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Credential | MD
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Telephone | 847-654-1281
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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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