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General NPI Number Information
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NPI Number | 1528314895
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CONSULTANTS, LLC
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 6541 PALM VALLEY DR
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City | SIOUX CITY
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State | IA
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Zip | 51106-8016
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Country | US
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Telephone | 800-214-7038
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Fax | 888-574-1048
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Provider Business Mailing Address
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Address Line | 6541 PALM VALLEY DR
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City | SIOUX CITY
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State | IA
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Zip | 51106-8016
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Country | US
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Telephone | 800-214-7038
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Fax | 888-574-1048
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NAVIN GUPTA
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Credential |
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Telephone | 615-574-0722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 25135
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License Number State | TN
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