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General NPI Number Information
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NPI Number | 1457698839
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY TECHNOLOGY GROUP INC
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Dates
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Enumeration Date | 01/06/2013
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Last Update Date | 01/06/2013
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Provider Practice Location Address
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Address Line | 1111 NAPFLE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2742
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Country | US
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Telephone | 215-904-5922
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 NAPFLE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2742
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Country | US
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Telephone | 215-904-5922
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Fax |
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Authorized Official
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Title or Position | CARDIOLOGY TECHNICIAN
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Name | MRS. GRIMILDA DORMOI
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Credential | NCET
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Telephone | 267-602-4734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number | 766381
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License Number State | PA
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