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General NPI Number Information
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NPI Number | 1427199116
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Entity Type | Organization
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Legal Business Name | GLOBAL CARDIOVASCULAR ASSOCIATES INC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 2110 E FLAMINGO RD #301
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City | LAS VEGAS
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State | NV
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Zip | 89119-5190
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Country | US
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Telephone | 702-866-6802
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Fax | 702-866-6904
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Provider Business Mailing Address
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Address Line | PO BOX 72216
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City | LAS VEGAS
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State | NV
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Zip | 89170-2216
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Country | US
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Telephone | 702-866-6802
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Fax | 702-866-6904
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Authorized Official
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Title or Position | ADMINISTRSTOR
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Name | STACEY D HOWE
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Credential |
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Telephone | 702-866-6802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9590
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 9141
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License Number State | NV
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