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General NPI Number Information
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NPI Number | 1659396133
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Entity Type | Organization
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Legal Business Name | CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS MD PA
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 455 PINELLAS STREET SUITE 400
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City | CLEARWATER
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State | FL
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Zip | 33756-3356
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Country | US
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Telephone | 727-445-1911
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Fax | 727-445-1986
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Provider Business Mailing Address
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Address Line | 455 PINELLAS STREET SUITE 400
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City | CLEARWATER
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State | FL
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Zip | 33756-3356
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Country | US
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Telephone | 727-445-1992
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Fax | 727-445-1993
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. KEVIN B MAIR
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Credential |
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Telephone | 727-445-1992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC3500X
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Taxonomy Name | Cardiac Rehabilitation Registered Nurse
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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 | 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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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #12
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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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