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General NPI Number Information
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NPI Number | 1588656185
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Entity Type | Organization
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Legal Business Name | UPSTATE CARDIOLOGY PA
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 10/05/2007
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Provider Practice Location Address
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Address Line | 1005 GROVE RD
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City | GREENVILLE
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State | SC
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Zip | 29605-4630
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Country | US
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Telephone | 864-235-7665
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Fax | 864-233-5971
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Provider Business Mailing Address
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Address Line | 1005 GROVE RD
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City | GREENVILLE
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State | SC
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Zip | 29605-4630
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Country | US
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Telephone | 864-235-7665
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Fax | 864-233-5971
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN E CEBE
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Credential | MD
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Telephone | 864-235-7665
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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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