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General NPI Number Information
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NPI Number | 1649521857
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR INSTITUTE II, P.C.
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 11/13/2019
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Provider Practice Location Address
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Address Line | 25 W NORA AVE STE 220
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City | SPOKANE
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State | WA
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Zip | 99205-4800
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Country | US
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Telephone | 509-557-7776
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Fax | 509-838-9683
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Provider Business Mailing Address
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Address Line | PO BOX 637
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City | SPOKANE
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State | WA
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Zip | 99210-0637
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Country | US
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Telephone | 509-557-7776
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Fax | 509-838-9683
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROMEO ANTON PAVLIC
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Credential | M.D.
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Telephone | 509-557-7776
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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 | 603 203 708
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License Number State | WA
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