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General NPI Number Information
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NPI Number | 1528100955
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Entity Type | Organization
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Legal Business Name | LSMD CARDIOVASCULAR DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 10 WALSH DR
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City | MAHWAH
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State | NJ
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Zip | 07430-2565
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Country | US
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Telephone | 973-447-4366
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Fax | 973-447-4368
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Provider Business Mailing Address
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Address Line | 10 WALSH DR
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City | MAHWAH
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State | NJ
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Zip | 07430-2565
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Country | US
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Telephone | 973-447-4366
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Fax | 973-447-4368
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LEONARD SAVINO
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Credential | MD
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Telephone | 973-447-4366
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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 | MA40180
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License Number State | NJ
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