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General NPI Number Information
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NPI Number | 1962087809
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Entity Type | Organization
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Legal Business Name | PRECISION CARDIOVASCULAR CARE, PLLC
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 13633 37TH AVE STE 5B
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City | FLUSHING
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State | NY
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Zip | 11354-4562
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Country | US
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Telephone | 919-265-8919
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Fax |
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Provider Business Mailing Address
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Address Line | 18 DAVIS LN
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City | ROSLYN
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State | NY
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Zip | 11576-2157
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Country | US
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Telephone | 919-265-8919
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. XUMING DAI
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Credential | MD, PHD
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Telephone | 919-265-8919
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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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