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General NPI Number Information
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NPI Number | 1780058040
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIAC IMAGING SOLUTIONS, PLLC
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 13423 BLANCO ROAD #437
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City | SAN ANTONIO
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State | TX
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Zip | 78216
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Country | US
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Telephone | 210-388-3874
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Fax |
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Provider Business Mailing Address
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Address Line | 13423 BLANCO ROAD #437
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City | SAN ANTONIO
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State | TX
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Zip | 78216
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Country | US
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Telephone | 210-816-0464
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Fax |
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Authorized Official
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Title or Position | MANAGING PRESIDENT OF ADMIN & AGENT
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Name | RHONDA B STEEL
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Credential | BAED, MPA
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Telephone | 210-383-7842
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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 | M8359
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License Number State | TX
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