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General NPI Number Information
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NPI Number | 1558423806
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Entity Type | Organization
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Legal Business Name | BLOOMINGTON CARDIOLOGY PC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 822 W 1ST ST SUITE 7
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City | BLOOMINGTON
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State | IN
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Zip | 47403
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Country | US
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Telephone | 812-333-4327
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Fax | 812-961-1521
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Provider Business Mailing Address
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Address Line | 822 W 1ST ST SUITE 7
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City | BLOOMINGTON
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State | IN
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Zip | 47403
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Country | US
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Telephone | 812-333-4327
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Fax | 812-961-1521
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | LOUIS J CALLI JR.
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Credential | M.D.
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Telephone | 812-333-4327
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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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