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General NPI Number Information
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NPI Number | 1861659914
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIOVASCULAR IMAGING, PC
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 13620 38TH AVE 5G
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City | FLUSHING
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State | NY
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Zip | 11354-4233
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Country | US
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Telephone | 718-353-9698
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Fax | 718-353-0387
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Provider Business Mailing Address
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Address Line | 13620 38TH AVE 5G
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City | FLUSHING
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State | NY
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Zip | 11354-4233
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Country | US
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Telephone | 718-353-9698
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Fax | 718-353-0387
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Authorized Official
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Title or Position | OWNER
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Name | DR. JIONG-MING HU
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Credential | M.D., PH.D
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Telephone | 718-353-9698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 211214
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License Number State | NY
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