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NPI 1598643785

NPI 1598643785 : IMPERIAL VALLEY CARDIOLOGY INC : CALEXICO, CA

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General NPI Number Information
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    NPI Number           |    1598643785
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    Entity Type          |    Organization 
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    Legal Business Name  |    IMPERIAL VALLEY CARDIOLOGY INC 
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Dates
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    Enumeration Date     |    08/25/2025
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    Last Update Date     |    08/25/2025
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Provider Practice Location Address
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    Address Line         |    200 E 4TH ST STE E 
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    City                 |    CALEXICO
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    State                |    CA
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    Zip                  |    92231-2714
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    Country              |    US
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    Telephone            |    818-688-2566
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    200 E 4TH ST STE E 
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    City                 |    CALEXICO
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    State                |    CA
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    Zip                  |    92231-2714
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    Country              |    US
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    Telephone            |    818-688-2566
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO/OWNER
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    Name                 |     STEVEN H FARBER 
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    Credential           |    MD
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    Telephone            |    818-688-2566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QG0300X
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    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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