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General NPI Number Information
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NPI Number | 1790807766
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Entity Type | Organization
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Legal Business Name | CARDIAC & ENDOVASCULAR ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 1124 E RIDGEWOOD AVE SUITE 202
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3915
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Country | US
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Telephone | 201-689-8070
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Fax | 201-689-9404
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Provider Business Mailing Address
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Address Line | 1124 E RIDGEWOOD AVE SUITE 202
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3915
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Country | US
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Telephone | 201-689-8070
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Fax | 201-689-9404
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JANET ELIZABETH STRAIN
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Credential | M.D.
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Telephone | 201-689-8070
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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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