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NPI 1639271422

NPI 1639271422 : CARDIAC RHYTHM SPECIALISTS : MILWAUKEE, WI

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General NPI Number Information
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    NPI Number           |    1639271422
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARDIAC RHYTHM SPECIALISTS 
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Dates
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    Enumeration Date     |    09/02/2006
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    Last Update Date     |    12/14/2007
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Provider Practice Location Address
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    Address Line         |    2015 E NEWPORT AVE SUITE 703
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53211-2984
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    Country              |    US
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    Telephone            |    414-962-7500
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    Fax                  |    414-962-7501
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Provider Business Mailing Address
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    Address Line         |    2015 E NEWPORT AVE SUITE 703
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53211-2984
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    Country              |    US
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    Telephone            |    414-962-7500
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    Fax                  |    414-962-7501
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     DEBORAH E BJORN 
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    Credential           |    
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    Telephone            |    414-962-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0001X
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    Taxonomy Name        |    Clinical Cardiac Electrophysiology Physician
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    License Number       |    
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    License Number State |    
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