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General NPI Number Information
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NPI Number | 1467047555
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Entity Type | Organization
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Legal Business Name | WESTERN CARDIOLOGY LLC
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | CARR 401 KM 0.5 BO. HATILLO
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City | ANASCO
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State | PR
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Zip | 00610
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Country | US
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Telephone | 787-826-0090
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Fax |
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Provider Business Mailing Address
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Address Line | HC 63 BOX 3806
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City | PATILLAS
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State | PR
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Zip | 00723-9642
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Country | US
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Telephone | 787-372-4222
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Fax |
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Authorized Official
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Title or Position | CARDIOLOGIST
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Name | DR. MIGDOEL CRUZ RODRIGUEZ
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Credential | MD
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Telephone | 787-372-4222
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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 |
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License Number State |
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