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General NPI Number Information
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NPI Number | 1487279378
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Entity Type | Organization
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Legal Business Name | SN CARDIOLOGY ASSOCIATES LLC
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 800 8TH AVE STE 616
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City | FORT WORTH
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State | TX
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Zip | 76104-2605
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Country | US
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Telephone | 817-577-7042
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Fax | 205-894-7685
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Provider Business Mailing Address
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Address Line | 2101 SHANNON OXMOOR RD # 270
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City | SHANNON
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State | AL
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Zip | 35142-2000
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Country | US
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Telephone | 205-880-7887
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Fax | 205-894-7685
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | SANJEEV UNNIKRISHNAN NAIR
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Credential |
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Telephone | 817-577-7042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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