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General NPI Number Information
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NPI Number | 1447339528
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Entity Type | Organization
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Legal Business Name | JACKSONVILLE CARDIOVASCULAR CENTER PL
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 4131 UNIVERSITY BLVD S STE 17
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4346
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Country | US
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Telephone | 904-805-9600
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Fax | 904-805-0084
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Provider Business Mailing Address
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Address Line | 6444 BEACH BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32216-2891
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Country | US
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Telephone | 904-805-9600
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Fax | 904-805-0084
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Authorized Official
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Title or Position | OWNER
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Name | WADDAH SALMAN
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Credential | MD
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Telephone | 904-805-9600
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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 | ME53377
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License Number State | FL
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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 |
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License Number State |
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