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General NPI Number Information
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NPI Number | 1558565705
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Entity Type | Organization
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Legal Business Name | PREMIER CARDIOVASCULAR CONSULTANTS PC
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 901 E HOUSTON ST SUITE C
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City | CLEVELAND
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State | TX
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Zip | 77327-4602
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Country | US
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Telephone | 281-593-3389
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Fax | 281-592-0479
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Provider Business Mailing Address
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Address Line | 1105 N WASHINGTON AVE
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City | CLEVELAND
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State | TX
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Zip | 77327-3732
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Country | US
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Telephone | 281-593-3389
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Fax | 281-592-0479
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NABIL MAHMOOD AHMAD
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Credential | MD
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Telephone | 281-593-2899
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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 | L0739
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License Number State | TX
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