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General NPI Number Information
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NPI Number | 1871545004
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Entity Type | Organization
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Legal Business Name | PATIENT CHOICE CARDIOLOGY, P.S.C.
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 20 MEDICAL VILLAGE DR STE. 177
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City | EDGEWOOD
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State | KY
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Zip | 41017-5401
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Country | US
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Telephone | 859-331-3353
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Fax | 859-331-3326
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Provider Business Mailing Address
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Address Line | L6099
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City | CINCINNATI
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State | OH
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Zip | 45270-6099
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Country | US
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Telephone | 859-331-3353
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Fax | 859-331-3326
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Authorized Official
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Title or Position | OWNER
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Name | JERRY J. LIERL
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Credential | M.D.
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Telephone | 859-331-3353
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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