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General NPI Number Information
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NPI Number | 1952581985
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Entity Type | Organization
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Legal Business Name | LOUIS CARUSO MD FACC PA
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 1020 E NORTH BLVD
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City | LEESBURG
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State | FL
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Zip | 34748-5348
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Country | US
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Telephone | 352-326-1731
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Fax | 352-728-2529
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Provider Business Mailing Address
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Address Line | 1020 E NORTH BLVD
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City | LEESBURG
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State | FL
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Zip | 34748-5348
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Country | US
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Telephone | 352-326-1731
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Fax | 352-728-2529
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Authorized Official
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Title or Position | OWNER
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Name | DR. LOUIS CARUSO
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Credential | MD
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Telephone | 352-326-1731
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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 | ME89230
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License Number State | FL
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