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General NPI Number Information
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NPI Number | 1790137396
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Entity Type | Organization
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Legal Business Name | PRECISION CARDIOVASCULAR LLC
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 4601 MARTIN LUTHER KING JR AVE SW
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City | WASHINGTON
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State | DC
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Zip | 20032-1131
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Country | US
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Telephone | 202-365-4492
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39249
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City | WASHINGTON
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State | DC
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Zip | 20016-9249
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARA COLLINS
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Credential |
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Telephone | 202-365-4492
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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 | MD036271
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License Number State | DC
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