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General NPI Number Information
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NPI Number | 1497964837
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Entity Type | Organization
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Legal Business Name | EASTON CARDIOVASCULAR ASSOC., PC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 123 ROSEBERRY ST
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1629
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Country | US
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Telephone | 908-213-3100
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Fax | 908-213-3103
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Provider Business Mailing Address
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Address Line | 2001 FAIRVIEW AVE
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City | EASTON
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State | PA
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Zip | 18042-3915
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Country | US
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Telephone | 610-258-4337
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Fax | 610-258-8502
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Authorized Official
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Title or Position | ACCOUNT REPRESENTATIVE
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Name | DENISE A CRIVELLARO
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Credential |
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Telephone | 610-258-4337
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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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