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General NPI Number Information
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NPI Number | 1801011549
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Entity Type | Organization
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Legal Business Name | NUCLEAR CARDIOVASCULAR SERVICES
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7922 EWING HALSELL DR #240
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3786
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Country | US
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Telephone | 210-614-3021
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Fax | 210-616-0208
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Provider Business Mailing Address
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Address Line | 7922 EWING HALSELL #240
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City | SAN ANTONIO
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State | TX
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Zip | 78229
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Country | US
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Telephone | 210-614-3021
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Fax | 210-616-0208
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER LEON KOPECKY
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Credential | M.D.
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Telephone | 210-614-3021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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