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General NPI Number Information
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NPI Number | 1588877385
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Entity Type | Organization
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Legal Business Name | COLLIN COUNTY CARDIOLOGY, P.A.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 3900 W 15TH ST SUITE 503
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City | PLANO
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State | TX
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Zip | 75075-4727
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Country | US
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Telephone | 214-773-6488
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Fax | 972-596-8976
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Provider Business Mailing Address
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Address Line | 3900 W 15TH ST SUITE 503
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City | PLANO
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State | TX
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Zip | 75075-4727
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Country | US
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Telephone | 214-773-6488
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Fax | 972-596-8976
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMARAO SUBBARAMA LANKIPALLI
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Credential | M.D, MRCP(UK), FACC
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Telephone | 214-773-6488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | M1865
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License Number State | TX
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