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General NPI Number Information
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NPI Number | 1497642342
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Entity Type | Organization
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Legal Business Name | SACRED HEART CARDIOLOGY, SC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 2300 LINEVILLE RD STE 201
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City | GREEN BAY
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State | WI
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Zip | 54313-8859
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Country | US
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Telephone | 833-922-7346
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Fax | 920-548-0241
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Provider Business Mailing Address
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Address Line | 2300 LINEVILLE RD STE 201
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City | GREEN BAY
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State | WI
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Zip | 54313-8859
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Country | US
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Telephone | 833-922-7346
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Fax | 920-548-0241
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | SCOTT WESLOW
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Credential | MD
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Telephone | 833-922-7346
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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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