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General NPI Number Information
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NPI Number | 1487757092
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR ASSOCIATES OF JACKSONVILLE PA
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 3599 UNIVERSITY BLVD SOUTH SUITE 913
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4269
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Country | US
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Telephone | 904-399-4120
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Fax | 904-399-5940
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Provider Business Mailing Address
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Address Line | 3599 UNIVERSITY BLVD SOUTH SUITE 913
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4269
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Country | US
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Telephone | 904-399-4120
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Fax | 904-399-5940
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. LAWRENCE J KANTER
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Credential | MD
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Telephone | 904-399-4120
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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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