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General NPI Number Information
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NPI Number | 1689400194
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Entity Type | Organization
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Legal Business Name | AMERICAN CARDIOVASCULAR HEALTH, PLC
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 1701 SOUTH BLVD E STE 390
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-6117
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Country | US
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Telephone | 248-293-0055
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Fax |
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Provider Business Mailing Address
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Address Line | 8061 21 MILE RD UNIT 3
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City | SHELBY TWP
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State | MI
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Zip | 48317-4309
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN
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Name | MARTIN MCGOUGH
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Credential | MD
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Telephone | 248-672-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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