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General NPI Number Information
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NPI Number | 1922034461
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR SPECIALISTS OF FREDERICK, LLC
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 180 THOMAS JOHNSON DR 202
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City | FREDERICK
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State | MD
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Zip | 21702-4409
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Country | US
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Telephone | 301-631-6877
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Fax | 301-631-5211
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Provider Business Mailing Address
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Address Line | 180 THOMAS JOHNSON DR 202
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City | FREDERICK
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State | MD
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Zip | 21702-4409
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Country | US
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Telephone | 301-631-6877
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Fax | 301-631-2428
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. DEBBIE K KLAUKA
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Credential | MBA
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Telephone | 301-631-6877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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