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General NPI Number Information
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NPI Number | 1447351515
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIOLOGY SPECIALISTS, P.A.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 12/17/2009
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Provider Practice Location Address
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Address Line | 7300 SANDLAKE COMMONS BLVD SUITE # 321
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City | ORLANDO
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State | FL
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Zip | 32819-8050
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Country | US
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Telephone | 407-351-8222
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Fax | 407-351-8954
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Provider Business Mailing Address
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Address Line | 7300 SANDLAKE COMMONS BLVD SUITE # 321
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City | ORLANDO
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State | FL
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Zip | 32819-8050
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Country | US
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Telephone | 407-351-8222
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Fax | 407-351-8954
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Authorized Official
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Title or Position | SOLE PROPIETARY
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Name | DR. SALAH UD DIN
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Credential | MD
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Telephone | 407-351-8222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME78382
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License Number State | FL
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