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General NPI Number Information
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NPI Number | 1912951146
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE CARDIOVASCULAR CONSULTANTS LLC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 12/03/2010
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Provider Practice Location Address
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Address Line | 299 MADISON AVENUE SUITE 102
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6166
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Country | US
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Telephone | 973-292-1020
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Fax | 973-292-9405
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Provider Business Mailing Address
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Address Line | 299 MADISON AVENUE SUITE 102
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6166
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Country | US
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Telephone | 973-292-1020
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Fax | 973-292-9405
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. BARBARA J REUTER
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Credential |
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Telephone | 973-292-1020
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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 | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA06404600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA06384500
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA05195400
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License Number State | NJ
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