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General NPI Number Information
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NPI Number | 1588745236
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CONSULTANTS, PC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/03/2007
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Provider Practice Location Address
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Address Line | 407 E RUSSELL AVE BLDG C
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City | WARRENSBURG
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State | MO
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Zip | 64093-1242
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Country | US
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Telephone | 816-931-1883
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Fax | 816-756-3645
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Provider Business Mailing Address
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Address Line | 4330 WORNALL RD SUITE 2000
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City | KANSAS CITY
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State | MO
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Zip | 64111-3217
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Country | US
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Telephone | 816-931-1883
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Fax | 816-756-3645
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHAEL SAMMS
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Credential |
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Telephone | 816-931-1883
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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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