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General NPI Number Information
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NPI Number | 1508821158
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Entity Type | Organization
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Legal Business Name | MEDCATH PARTNERS, LLC
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 08/07/2009
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Provider Practice Location Address
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Address Line | 8400 ROOSEVELT BLVD SUITE 220
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2012
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Country | US
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Telephone | 215-331-1366
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Fax | 215-331-1006
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Provider Business Mailing Address
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Address Line | 10720 SIKES PL SUITE 300
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City | CHARLOTTE
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State | NC
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Zip | 28277-8141
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Country | US
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Telephone | 704-815-7789
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Fax | 888-401-6931
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Authorized Official
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Title or Position | CEO
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Name | MR. GARY GUIDRY
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Credential |
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Telephone | 704-815-7804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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