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General NPI Number Information
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NPI Number | 1518932003
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CONSULTANTS OF IN. P.C.
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 7217 INDIANAPOLIS BLVD
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City | HAMMOND
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State | IN
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Zip | 46324-2213
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Country | US
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Telephone | 219-554-4080
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Fax | 219-554-4085
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Provider Business Mailing Address
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Address Line | 7217 INDIANAPOLIS BLVD
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City | HAMMOND
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State | IN
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Zip | 46324-2213
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Country | US
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Telephone | 219-554-4080
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Fax | 219-554-4085
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMON P. LLOBET
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Credential | M.D.
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Telephone | 219-554-4080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71000524A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 364SC0200X
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Taxonomy Name | Critical Care Medicine Clinical Nurse Specialist
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License Number | 28133002A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 01038128A
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License Number State | IN
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