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General NPI Number Information
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NPI Number | 1861719668
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIO SERVICES
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 2544 CAMPBELL PL SUITE 275
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City | CARLSBAD
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State | CA
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Zip | 92009-1752
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Country | US
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Telephone | 866-416-8989
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Fax | 866-416-8970
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Provider Business Mailing Address
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Address Line | 2544 CAMPBELL PL SUITE 275
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City | CARLSBAD
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State | CA
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Zip | 92009-1752
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Country | US
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Telephone | 866-416-8989
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Fax | 866-416-8970
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Authorized Official
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Title or Position | CEO
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Name | TIMOTHY B CADY
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Credential |
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Telephone | 760-803-8635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | ER345A
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | ER345A
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License Number State | CA
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