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General NPI Number Information
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NPI Number | 1942472881
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Entity Type | Organization
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Legal Business Name | ADVANCED CARDIOVASCULAR CONSULTANTS INC
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 100 7TH AVE SUITE 222
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City | CHARDON
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State | OH
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Zip | 44024-7804
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Country | US
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Telephone | 440-285-2300
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Fax | 440-285-2320
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Provider Business Mailing Address
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Address Line | 870 W MAIN ST
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City | GENEVA
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State | OH
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Zip | 44041-1219
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Country | US
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Telephone | 440-285-2300
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Fax | 440-285-2320
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID G SMITH
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Credential | MD
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Telephone | 440-285-2300
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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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