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General NPI Number Information
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NPI Number | 1477545317
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Entity Type | Organization
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Legal Business Name | CUMBERLAND CARDIOLOGY PA
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 2848 S DELSEA DR SUITE 4A
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City | VINELAND
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State | NJ
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Zip | 08360-7042
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Country | US
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Telephone | 856-691-6300
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Fax | 856-691-0444
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Provider Business Mailing Address
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Address Line | 2848 S DELSEA DR SUITE 4A
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City | VINELAND
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State | NJ
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Zip | 08360-7042
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Country | US
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Telephone | 856-691-6300
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Fax | 856-691-0444
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. RHONDA A COHN
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Credential |
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Telephone | 856-691-6300
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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 | 25MA04924400
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License Number State | NJ
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