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General NPI Number Information
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NPI Number | 1447576194
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Entity Type | Organization
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Legal Business Name | MOBILE CARDIO VASCULAR INC.,
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 147 E 26TH ST
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City | NEW YORK
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State | NY
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Zip | 10010-1868
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Country | US
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Telephone | 212-779-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 171 SCENIC RD
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City | MOHEGAN LAKE
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State | NY
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Zip | 10547-1254
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Country | US
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Telephone | 914-374-8731
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN WILSON
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Credential |
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Telephone | 212-779-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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