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General NPI Number Information
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NPI Number | 1881875193
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE CARDIOLOGY CONS INC
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 415 STRAIGHT ST SUITE 210
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City | CINCINNATI
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State | OH
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Zip | 45219-1060
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Country | US
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Telephone | 513-872-5700
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Fax | 513-861-6980
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Provider Business Mailing Address
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Address Line | PO BOX 691635
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City | CINCINNATI
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State | OH
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Zip | 45269-1635
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Country | US
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Telephone | 513-872-5700
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Fax | 513-861-6980
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Authorized Official
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Title or Position | CEO
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Name | MR. GEORGE WIETMARSCHEN
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Credential |
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Telephone | 513-872-5700
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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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