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General NPI Number Information
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NPI Number | 1588811533
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Entity Type | Organization
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Legal Business Name | ECG CONSULTANTS OF BETHESDA LLC
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 2580 S SEACREST BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-6789
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Country | US
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Telephone | 561-369-7865
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Fax | 561-369-7169
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Provider Business Mailing Address
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Address Line | PO BOX 919331
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City | ORLANDO
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State | FL
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Zip | 32891-9331
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Country | US
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Telephone | 954-726-1808
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Fax | 954-726-1820
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Authorized Official
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Title or Position | MGRM
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Name | SAMEER VERMA
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Credential | MD
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Telephone | 561-369-7865
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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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