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General NPI Number Information
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NPI Number | 1841296357
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Entity Type | Organization
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Legal Business Name | ST. LUKE'S DIAGNOSTIC CATH LAB, LLP
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 6620 MAIN STREET SUITE 1520
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City | HOUSTON
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State | TX
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Zip | 77030-2305
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Country | US
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Telephone | 713-275-2200
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Fax | 713-275-2222
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Provider Business Mailing Address
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Address Line | 6620 MAIN STREET SUITE 1520
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City | HOUSTON
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State | TX
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Zip | 77030-2305
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Country | US
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Telephone | 713-275-2200
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Fax | 713-275-2222
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | PATRICIA CHESNICK
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Credential | RN
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Telephone | 713-275-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | N/A
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License Number State |
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