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NPI 1912175290

NPI 1912175290 : SOUTH SHORE CARDIOVASCULAR ASSOCIATES INC : BRANDON, FL

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General NPI Number Information
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    NPI Number           |    1912175290
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOUTH SHORE CARDIOVASCULAR ASSOCIATES INC 
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Dates
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    Enumeration Date     |    02/20/2008
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    Last Update Date     |    12/21/2022
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Provider Practice Location Address
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    Address Line         |    425 S KINGS AVE 
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    City                 |    BRANDON
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    State                |    FL
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    Zip                  |    33511-5919
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    Country              |    US
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    Telephone            |    813-661-6199
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    Fax                  |    813-661-6334
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Provider Business Mailing Address
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    Address Line         |    425 S KINGS AVE 
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    City                 |    BRANDON
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    State                |    FL
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    Zip                  |    33511-5919
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    Country              |    US
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    Telephone            |    813-661-6199
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. HARSHINDER  SINGH 
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    Credential           |    M.D.
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    Telephone            |    863-899-9576
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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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