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General NPI Number Information
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NPI Number | 1720934649
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIOVASCULAR AND VEIN CENTER LLC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 7321 HANOVER PKWY
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City | GREENBELT
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State | MD
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Zip | 20770-3616
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Country | US
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Telephone | 240-463-3788
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Fax |
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Provider Business Mailing Address
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Address Line | 12120 PLUM ORCHARD DR STE 150
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City | SILVER SPRING
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State | MD
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Zip | 20904-7820
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Country | US
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Telephone | 240-463-3788
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Fax | 240-463-3788
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Authorized Official
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Title or Position | PRACTICE ADMINSTRATOR
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Name | NAA OPOKU-ASARE
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Credential | OPOKUASARE
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Telephone | 240-463-3788
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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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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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