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General NPI Number Information
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NPI Number | 1720183155
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE CARDIAC CARE LLC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 115 W SILVER ST
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City | WESTFIELD
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State | MA
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Zip | 01085-3628
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Country | US
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Telephone | 413-572-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 115 W SILVER ST
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City | WESTFIELD
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State | MA
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Zip | 01085-3628
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Country | US
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Telephone | 413-572-4400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TARIQ MALIK
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Credential | M.D.
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Telephone | 413-572-4400
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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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