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General NPI Number Information
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NPI Number | 1740207513
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Entity Type | Organization
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Legal Business Name | RIVER CITY CARDIAC AND VASCULAR INSTITUTE
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 3730 N RIDGE RD SUITE 200
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City | WICHITA
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State | KS
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Zip | 67205-1227
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Country | US
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Telephone | 316-462-1075
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Fax | 316-462-1078
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Provider Business Mailing Address
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Address Line | 3730 N RIDGE RD SUITE 200
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City | WICHITA
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State | KS
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Zip | 67205-1227
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Country | US
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Telephone | 316-462-1075
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Fax | 316-462-1078
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES AM SMITH
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Credential | DO
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Telephone | 316-462-1075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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