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General NPI Number Information
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NPI Number | 1396880472
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Entity Type | Organization
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Legal Business Name | RIVERVIEW CARDIAC DIAGNOSTIC ASSOCIATES P.A.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 1 RIVERVIEW PLZ
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City | RED BANK
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State | NJ
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Zip | 07701-1864
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Country | US
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Telephone | 732-530-1203
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Fax | 732-530-1204
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Provider Business Mailing Address
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Address Line | PO BOX 8785
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City | RED BANK
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State | NJ
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Zip | 07701-8785
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Country | US
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Telephone | 732-530-1203
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Fax | 732-530-1204
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Authorized Official
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Title or Position | SECRETARY-TREASURER
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Name | DR. DAVID DROUT
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Credential | MD
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Telephone | 732-530-1203
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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 | MA34768
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License Number State | NJ
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