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General NPI Number Information
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NPI Number | 1679599823
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIOVASCULAR DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 95 ARCH ST SUITE 300
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City | AKRON
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State | OH
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Zip | 44304-1437
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Country | US
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Telephone | 330-253-8195
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Fax | 330-253-0853
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Provider Business Mailing Address
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Address Line | 21755 BROOKPARK RD
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City | CLEVELAND
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State | OH
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Zip | 44126-3200
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Country | US
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Telephone | 440-777-6305
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Fax | 440-777-2330
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. WILLIAM B. BAUMAN
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Credential | M.D.
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Telephone | 330-253-8195
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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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