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General NPI Number Information
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NPI Number | 1942495254
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Entity Type | Organization
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Legal Business Name | SUNSET CARDIOLOGY LLC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 9193 SUNSET DR #210
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-595-5558
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Fax | 305-595-4121
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Provider Business Mailing Address
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Address Line | 9193 SUNSET DR #210
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-595-5558
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Fax | 305-595-4121
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Authorized Official
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Title or Position | CFO
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Name | KEVIN WIRGES
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Credential | CFO
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Telephone | 305-595-5558
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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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