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General NPI Number Information
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NPI Number | 1952596603
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Entity Type | Organization
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Legal Business Name | BLUEFIELD INT & CARDIO
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 1331 SOUTHVIEW DRIVE SUITE 5
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City | BLUEFIELD
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State | WV
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Zip | 24701
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Country | US
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Telephone | 304-327-7102
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1595
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City | BLUEFIELD
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State | WV
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Zip | 24701
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Country | US
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Telephone | 304-327-7102
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Fax | 304-327-6443
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANIL B AGARWAL
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Credential | M.D., F.A.C.C.
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Telephone | 304-327-7102
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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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