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General NPI Number Information
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NPI Number | 1477515153
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIOLOGY, INC.
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 905 SAHARA TRL
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City | POLAND
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State | OH
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Zip | 44514-3687
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Country | US
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Telephone | 330-726-0100
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Fax | 330-726-2169
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Provider Business Mailing Address
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Address Line | 905 SAHARA TRL
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City | POLAND
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State | OH
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Zip | 44514-3687
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Country | US
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Telephone | 330-726-0100
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Fax | 330-726-2169
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. ROBERT R. HOUSTON JR.
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Credential | M.D.
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Telephone | 330-726-0100
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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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