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General NPI Number Information
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NPI Number | 1598251118
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH'S CARDIOLOGY GROUP, LLC
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 10 OAK FOREST RD STE B
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City | BLUFFTON
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State | SC
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Zip | 29910-4974
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Country | US
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Telephone | 912-927-3434
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Fax | 912-921-0982
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Provider Business Mailing Address
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Address Line | 602 E 72ND ST
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City | SAVANNAH
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State | GA
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Zip | 31405-4913
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Country | US
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Telephone | 912-819-7878
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Fax | 912-819-7850
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | PAUL P HINCHEY
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Credential |
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Telephone | 912-819-6901
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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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