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General NPI Number Information
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NPI Number | 1659568244
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Entity Type | Organization
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Legal Business Name | GULFSHORE CARDIOLOGY PL
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 1961 FLOYD ST
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City | SARASOTA
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State | FL
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Zip | 34239-2931
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Country | US
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Telephone | 941-650-8224
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Fax |
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Provider Business Mailing Address
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Address Line | 1961 FLOYD ST
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City | SARASOTA
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State | FL
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Zip | 34239-2931
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Country | US
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Telephone | 941-650-8224
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. E THOMAS ARNE
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Credential | DO
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Telephone | 941-650-8224
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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 | OS7384
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License Number State | FL
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