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NPI 1902935935

NPI 1902935935 : NATIONAL CARDIO LABS : IRVINE, CA

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General NPI Number Information
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    NPI Number           |    1902935935
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    Entity Type          |    Organization 
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    Legal Business Name  |    NATIONAL CARDIO LABS 
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Dates
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    Enumeration Date     |    03/05/2007
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    Last Update Date     |    02/10/2009
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Provider Practice Location Address
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    Address Line         |    17752 SKY PARK CIR SUITE 270
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92614-6419
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    Country              |    US
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    Telephone            |    800-546-7928
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    Fax                  |    714-550-7132
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5460 
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    City                 |    STATELINE
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    State                |    NV
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    Zip                  |    89449-5460
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    Country              |    US
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    Telephone            |    800-546-7928
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    Fax                  |    714-550-7132
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Authorized Official
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    Title or Position    |    OWNER, MEMBER
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    Name                 |     ROBERT  PARSONS 
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    Credential           |    
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    Telephone            |    800-546-7928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    246W00000X
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    Taxonomy Name        |    Cardiology Technician
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    License Number       |    26897
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    License Number State |    NV
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