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General NPI Number Information
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NPI Number | 1740398254
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY ASSOCIATES OF PADUCAH, PSC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 1532 LONE OAK RD SUITE 415
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City | PADUCAH
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State | KY
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Zip | 42003-7913
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Country | US
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Telephone | 270-442-0103
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Fax | 270-442-0109
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Provider Business Mailing Address
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Address Line | PO BOX 7129
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City | PADUCAH
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State | KY
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Zip | 42002-7129
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Country | US
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Telephone | 270-442-0103
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Fax | 270-442-0109
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Authorized Official
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Title or Position | FINANCIAL DIRECTOR
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Name | JOAN DAVIS
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Credential |
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Telephone | 270-538-5500
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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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