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General NPI Number Information
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NPI Number | 1669521241
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Entity Type | Organization
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Legal Business Name | PREMIER CARDIOLOGY OF BOCA RATON LLP
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 1000 NW 9TH CT SUITE 201
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City | BOCA RATON
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State | FL
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Zip | 33486-2268
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Country | US
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Telephone | 561-395-4600
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Fax | 561-395-6903
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Provider Business Mailing Address
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Address Line | 1000 NW 9TH CT SUITE 201
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City | BOCA RATON
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State | FL
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Zip | 33486-2268
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Country | US
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Telephone | 561-395-4600
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Fax | 561-395-6903
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. ADRIA J MAURER
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Credential |
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Telephone | 561-395-4600
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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 |
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License Number State |
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Taxonomy #2
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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 #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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