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General NPI Number Information
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NPI Number | 1730321324
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CARE & IMAGING LLC
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 03/30/2009
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Provider Practice Location Address
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Address Line | 10004 KENNERLY RD SUITE 171B
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2141
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Country | US
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Telephone | 314-849-0111
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Fax | 314-849-0412
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Provider Business Mailing Address
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Address Line | PO BOX 952768
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City | SAINT LOUIS
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State | MO
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Zip | 63195-2768
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Country | US
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Telephone | 314-849-0111
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Fax | 314-849-0412
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Authorized Official
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Title or Position | OWNER
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Name | DR. DILIP H PATEL
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Credential | M.D.
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Telephone | 314-849-0111
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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 | R8D96
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License Number State | MO
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