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General NPI Number Information
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NPI Number | 1912694845
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIOVASCULAR LLC
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 3007 MANATEE AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-4240
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Country | US
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Telephone | 410-428-0643
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Fax |
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Provider Business Mailing Address
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Address Line | 235 APOLLO BEACH BLVD # 153
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City | APOLLO BEACH
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State | FL
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Zip | 33572-2251
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABDULGHANI A SAADI
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Credential | MD
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Telephone | 410-428-0643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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