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General NPI Number Information
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NPI Number | 1669785705
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR SERVICES LLC
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 212 S PINE AVE
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City | INVERNESS
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State | FL
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Zip | 34452-4838
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Country | US
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Telephone | 352-419-6537
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Fax | 352-419-6541
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Provider Business Mailing Address
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Address Line | 212 S PINE AVE
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City | INVERNESS
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State | FL
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Zip | 34452-4838
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Country | US
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Telephone | 352-419-6537
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Fax | 352-419-6541
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | RAFIK ABADIER
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Credential | MD
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Telephone | 352-419-6537
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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 | ME59443
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License Number State | FL
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Taxonomy #2
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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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