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General NPI Number Information
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NPI Number | 1609338508
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Entity Type | Organization
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Legal Business Name | CONNECTED CARDIOVASCULAR CARE ASSOCIATES PLLC
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 12720 HILLCREST RD STE 300
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City | DALLAS
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State | TX
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Zip | 75230-2089
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Country | US
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Telephone | 214-814-1550
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Fax | 214-814-1350
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Provider Business Mailing Address
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Address Line | 9330 LBJ FWY STE 800
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City | DALLAS
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State | TX
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Zip | 75243-4310
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Country | US
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Telephone | 972-792-5700
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Fax | 214-506-1170
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Authorized Official
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Title or Position | COO
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Name | AMY GOLISZEK
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Credential |
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Telephone | 214-506-2617
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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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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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