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General NPI Number Information
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NPI Number | 1366464273
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Entity Type | Organization
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Legal Business Name | CYFAIR CARDIOLOGY ASSOC PA
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 255 ED ENGLISH DR STE B
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City | SHENANDOAH
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State | TX
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Zip | 77385-8027
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Country | US
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Telephone | 281-890-4886
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Fax | 281-894-2247
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Provider Business Mailing Address
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Address Line | 255 ED ENGLISH DR STE B
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City | SHENANDOAH
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State | TX
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Zip | 77385-8027
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Country | US
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Telephone | 281-890-4886
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Fax | 281-894-2247
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Authorized Official
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Title or Position | REVENUE CYCLE SPECIALIST
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Name | JESSICA PERNIA
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Credential |
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Telephone | 281-890-4886
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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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