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General NPI Number Information
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NPI Number | 1841251907
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Entity Type | Organization
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Legal Business Name | CARDIOTHORACIC SURGICAL ASSOC.,INC.
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1900 MOWRY AVE 410
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City | FREMONT
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State | CA
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Zip | 94538-1722
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Country | US
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Telephone | 510-796-4401
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Fax | 510-796-2943
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Provider Business Mailing Address
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Address Line | 1900 MOWRY AVE 401
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City | FREMONT
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State | CA
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Zip | 94538-1722
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Country | US
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Telephone | 510-796-4401
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Fax | 510-796-2943
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Authorized Official
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Title or Position | M.D./PRESIDENT/OWNER
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Name | DR. ADAM L HARMON
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Credential | M.D.
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Telephone | 510-796-4401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G77973
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License Number State | CA
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