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General NPI Number Information
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NPI Number | 1679753180
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIOTHORACIC SURGEONS
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 38800 GARFIELD RD SUITE 100
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-6618
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Country | US
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Telephone | 586-286-6900
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Fax | 586-286-6960
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Provider Business Mailing Address
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Address Line | 38800 GARFIELD RD SUITE 100
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-6618
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Country | US
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Telephone | 586-286-6900
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Fax | 586-286-6960
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. STEVEN DALE HARRINGTON
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Credential | MD
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Telephone | 586-286-6900
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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 | 043840
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License Number State | MI
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