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General NPI Number Information
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NPI Number | 1669453304
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR SURGERY ASSOCIATES, P.C.
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 4230 HARDING RD SUITE 202
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City | NASHVILLE
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State | TN
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Zip | 37205-2013
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Country | US
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Telephone | 615-385-4781
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Fax | 615-385-9265
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Provider Business Mailing Address
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Address Line | 95 WHITE BRIDGE RD SUITE 250
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City | NASHVILLE
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State | TN
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Zip | 37205-1497
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Country | US
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Telephone | 615-354-5930
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Fax | 615-356-5220
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Authorized Official
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Title or Position | PRESIDENT OF THE CORPORATION
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Name | DR. JOHN W LEA IV
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Credential | M.D.
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Telephone | 615-385-4781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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