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General NPI Number Information
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NPI Number | 1609886555
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Entity Type | Organization
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Legal Business Name | TOWN & COUNTRY CARDIOVASCULAR GROUP
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 1010 OLD DES PERES RD
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City | SAINT LOUIS
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State | MO
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Zip | 63131-1865
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Country | US
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Telephone | 314-238-2535
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Fax | 314-238-2020
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Provider Business Mailing Address
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Address Line | 1010 OLD DES PERES RD
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City | SAINT LOUIS
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State | MO
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Zip | 63131-1865
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Country | US
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Telephone | 314-238-2535
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Fax | 314-238-2020
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN P. HESS
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Credential | M.D.
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Telephone | 314-238-2535
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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 | R4A43
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License Number State | MO
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