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General NPI Number Information
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NPI Number | 1558121814
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR SPECIALISTS OF REDLANDS AND THE INLAND EMPIRE LLC
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 350 TERRACINA BLVD
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City | REDLANDS
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State | CA
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Zip | 92373-4850
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Country | US
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Telephone | 909-335-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 1752 E LUGONIA AVE STE 117-1124
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City | REDLANDS
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State | CA
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Zip | 92374-2730
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Country | US
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Telephone | 909-499-3050
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAMDAS G PAI
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Credential | MD
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Telephone | 909-499-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0002X
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Taxonomy Name | Adult Congenital Heart Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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