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General NPI Number Information
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NPI Number | 1710423918
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARDIOLOGY PC
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 211 S CRAPO ST STE A
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-2961
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Country | US
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Telephone | 989-953-4188
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Fax |
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Provider Business Mailing Address
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Address Line | 211 S CRAPO ST STE A
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-2961
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Country | US
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Telephone | 989-953-4188
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Fax |
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Authorized Official
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Title or Position | BILLER
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Name | CINDY POWERS
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Credential |
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Telephone | 989-817-3412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 5101008190
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License Number State | MI
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