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General NPI Number Information
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NPI Number | 1356776553
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Entity Type | Organization
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Legal Business Name | PAD DIAGNOSTICS LLC
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 711 HARRISON AVE
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City | MAGNOLIA
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State | NJ
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Zip | 08049-1516
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Country | US
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Telephone | 856-469-5867
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Fax |
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Provider Business Mailing Address
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Address Line | 711 HARRISON AVE
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City | MAGNOLIA
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State | NJ
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Zip | 08049-1516
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Country | US
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Telephone | 856-469-5867
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Fax |
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Authorized Official
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Title or Position | TERRITORY MANAGER
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Name | MR. HARRISON WEBB
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Credential |
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Telephone | 609-923-0157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246X00000X
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Taxonomy Name | Cardiovascular Specialist/Technologist
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License Number |
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License Number State |
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