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General NPI Number Information
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NPI Number | 1639232036
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CONSULTING ASSOCIATES, P.C.
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 1400 S LAKE PARK AVE STE 400
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City | HOBART
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State | IN
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Zip | 46342-6636
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Country | US
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Telephone | 219-942-6166
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Fax | 219-942-4106
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Provider Business Mailing Address
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Address Line | 1400 S LAKE PARK AVE STE 400
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City | HOBART
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State | IN
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Zip | 46342-6636
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Country | US
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Telephone | 219-942-6166
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Fax | 219-942-4106
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Authorized Official
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Title or Position | OWNER-MD
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Name | DR. JACK H ZIEGLER
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Credential | MD
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Telephone | 219-942-6166
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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 | IN
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