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General NPI Number Information
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NPI Number | 1538106711
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CONSULTANTS PC
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 10010 DONALD POWERS DRIVE
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City | MUNSTER
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State | IN
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Zip | 46321
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Country | US
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Telephone | 219-934-4200
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Fax | 219-922-5904
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Provider Business Mailing Address
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Address Line | 10010 DONALD POWERS DRIVE
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City | MUNSTER
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State | IN
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Zip | 46321
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Country | US
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Telephone | 219-934-4200
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Fax | 219-922-5904
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Authorized Official
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Title or Position | MANAGER
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Name | SHEILA SELMON
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Credential |
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Telephone | 219-934-4200
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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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