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General NPI Number Information
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NPI Number | 1952447989
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Entity Type | Organization
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Legal Business Name | CARDIOPULMONARY SERVICES INC.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 1932 ARLINGTON BLVD STE. 2
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-1560
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Country | US
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Telephone | 434-984-2888
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Fax | 434-984-3888
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Provider Business Mailing Address
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Address Line | 1932 ARLINGTON BLVD STE. 2
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-1560
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Country | US
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Telephone | 434-984-2888
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Fax | 434-984-3888
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN FLY HILL
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Credential | R.R.T
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Telephone | 434-984-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0206009337
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License Number State | VA
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