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General NPI Number Information
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NPI Number | 1679516736
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR SPECIALTY ASSOCIATES OF NORTH TEXAS, PA
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 1320 GREENWAY DRIVE SUITE 200
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City | IRVING
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State | TX
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Zip | 75038-2503
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Country | US
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Telephone | 972-550-9195
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Fax | 972-550-0079
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Provider Business Mailing Address
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Address Line | 1320 GREENWAY DR SUITE 200
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City | IRVING
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State | TX
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Zip | 75038-2503
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Country | US
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Telephone | 972-550-9195
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Fax | 972-550-0079
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID J. CARTER
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Credential | M.D.
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Telephone | 972-550-9195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery 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 | 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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Taxonomy #3
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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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