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General NPI Number Information
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NPI Number | 1851425094
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CENTERS LLC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 483 N SEMORAN BLVD SUITE 105
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City | WINTER PARK
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State | FL
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Zip | 32792-3803
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Country | US
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Telephone | 407-340-0137
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Fax | 321-274-0226
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Provider Business Mailing Address
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Address Line | 483 N SEMORAN BLVD SUITE 105
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City | WINTER PARK
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State | FL
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Zip | 32792-3803
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Country | US
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Telephone | 407-340-0137
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Fax | 321-274-0226
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Authorized Official
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Title or Position | MANAGER
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Name | MS. PATTI LAWRENCE
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Credential | RT
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Telephone | 407-340-0137
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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 |
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License Number State |
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