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General NPI Number Information
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NPI Number | 1598886467
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY ASSOCIATES-A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 1811 E BERT KOUNS SUITE 100
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City | SHREVEPORT
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State | LA
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Zip | 71115
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Country | US
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Telephone | 318-222-3695
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Fax | 318-424-0717
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Provider Business Mailing Address
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Address Line | 1811 E BERT KOUNS SUITE 100
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City | SHREVEPORT
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State | LA
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Zip | 71115
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Country | US
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Telephone | 318-222-3695
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Fax | 318-424-0717
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VONGPHANET J SIHARATH
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Credential |
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Telephone | 318-222-3695
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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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