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General NPI Number Information
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NPI Number | 1457652513
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Entity Type | Organization
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Legal Business Name | CARDIOMETABOLIC HEALTH LLC
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Dates
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Enumeration Date | 11/05/2010
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 615 COPELAND MILL RD STE 2D
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City | WESTERVILLE
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State | OH
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Zip | 43081-8904
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Country | US
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Telephone | 614-939-2308
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Fax | 614-939-2309
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Provider Business Mailing Address
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Address Line | 615 COPELAND MILL RD STE 2D
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City | WESTERVILLE
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State | OH
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Zip | 43081-8904
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Country | US
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Telephone | 614-939-2308
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Fax | 614-939-2309
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RICHARD K CAVENDER
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Credential | MD
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Telephone | 614-939-2308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 35066429C
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License Number State | OH
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