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General NPI Number Information
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NPI Number | 1710092440
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIOVASCULAR AND THORACIC SURGICAL ASSOCIATES INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 414 G ST SUITE 110
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City | MARYSVILLE
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State | CA
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Zip | 95901-5663
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Country | US
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Telephone | 530-634-9900
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Fax | 530-634-9910
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Provider Business Mailing Address
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Address Line | PO BOX 5668
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City | MARYSVILLE
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State | CA
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Zip | 95901-8548
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Country | US
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Telephone | 530-634-9900
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Fax | 530-634-9910
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID SAVAGE
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Credential | M.D.
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Telephone | 530-634-9900
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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 | G87647
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License Number State | CA
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