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General NPI Number Information
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NPI Number | 1740598580
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Entity Type | Organization
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Legal Business Name | INTEGRAL CARDIOVASCULAR CENTER PLLC
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 06/24/2016
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Provider Practice Location Address
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Address Line | 2950 FM 2920 ROAD SUITE 180
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City | SPRING
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State | TX
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Zip | 77388
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Country | US
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Telephone | 281-972-2079
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Fax | 281-972-2074
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Provider Business Mailing Address
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Address Line | 2950 FM 2920 ROAD SUITE 180
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City | SPRING
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State | TX
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Zip | 77388
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Country | US
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Telephone | 281-972-2079
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Fax | 281-972-2074
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Authorized Official
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Title or Position | OWNER
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Name | DR. VINAY RAO JULAPALLI
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Credential | M.D.
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Telephone | 281-972-2079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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