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General NPI Number Information
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NPI Number | 1821093220
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Entity Type | Organization
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Legal Business Name | CARDIAC SURGICAL ASSOCIATES LLP
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 05/09/2014
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Provider Practice Location Address
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Address Line | 6006 49TH ST N STE 310
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City | ST PETERSBURG
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State | FL
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Zip | 33709-2149
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Country | US
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Telephone | 727-527-9779
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Fax | 727-522-0415
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Provider Business Mailing Address
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Address Line | 6006 49TH ST N STE 310
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City | ST PETERSBURG
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State | FL
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Zip | 33709-2149
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Country | US
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Telephone | 727-527-9779
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Fax | 727-522-0415
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MONIQUE PATRICK
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Credential |
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Telephone | 727-527-9779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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