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General NPI Number Information
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NPI Number | 1548310576
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Entity Type | Organization
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Legal Business Name | MERIDIAN CARDIOVASCULAR INTERPRETIVE SERVICES PC
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 3600 ROUTE 66 FL 3
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City | NEPTUNE
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State | NJ
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Zip | 07753-2605
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Country | US
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Telephone | 732-807-0800
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Fax | 732-922-0527
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Provider Business Mailing Address
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Address Line | PO BOX 95000-8347
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City | PHILADELPHIA
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State | PA
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Zip | 19195-0001
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Country | US
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Telephone | 732-807-0800
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Fax | 732-922-0527
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Authorized Official
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Title or Position | DIRECTOR
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Name | JAMES CLARKE
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Credential | M.D.
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Telephone | 732-765-6317
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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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