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General NPI Number Information
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NPI Number | 1376571166
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR ASSOCIATES, PSC
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4950 NORTON HALTHCARE BLVD SUITE 100
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City | LOUISVILLE
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State | KY
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Zip | 40241
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Country | US
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Telephone | 502-891-8300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20129
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City | LOUISVILLE
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State | KY
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Zip | 40250-0129
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Country | US
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Telephone | 502-891-8300
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Fax |
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Authorized Official
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Title or Position | MANAGING PHYSICIAN
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Name | JANET L SMITH
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Credential | MD
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Telephone | 502-891-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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