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General NPI Number Information
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NPI Number | 1902877038
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CARE, P.A.
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 925 N HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67214-3219
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Country | US
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Telephone | 316-616-3333
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Fax | 316-616-0974
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Provider Business Mailing Address
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Address Line | PO BOX 47212
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City | WICHITA
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State | KS
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Zip | 67201-7212
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Country | US
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Telephone | 316-616-3333
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Fax | 316-616-0974
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Authorized Official
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Title or Position | CEO
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Name | HOSSEIN AMIRANI
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Credential | MD
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Telephone | 316-616-3333
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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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