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General NPI Number Information
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NPI Number | 1770684904
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Entity Type | Organization
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Legal Business Name | JOSE E ESCALANTE CARDIOLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 07/13/2011
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Provider Practice Location Address
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Address Line | 777 E 25TH ST STE 214
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City | HIALEAH
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State | FL
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Zip | 33013-3850
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Country | US
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Telephone | 305-836-1997
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Fax | 305-836-7101
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Provider Business Mailing Address
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Address Line | 777 E 25TH ST STE 214
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City | HIALEAH
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State | FL
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Zip | 33013-3850
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Country | US
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Telephone | 305-836-1997
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Fax | 305-836-7101
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Authorized Official
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Title or Position | CARDIOLOGY
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Name | DR. JOSE ENRIQUE ESCALANTE
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Credential | M.D.
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Telephone | 305-836-1997
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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 | ME 0059927
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License Number State | FL
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