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General NPI Number Information
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NPI Number | 1962559310
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Entity Type | Organization
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Legal Business Name | TRI-VALLEY ECG MEDICAL GROUP INC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 5565 WEST LAS POSITAS BLVD SUITE 260
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City | PLEASANTON
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State | CA
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Zip | 94588-5807
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Country | US
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Telephone | 925-460-0700
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Fax | 925-734-0517
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Provider Business Mailing Address
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Address Line | 5565 WEST LAS POSITAS BLVD SUITE 260
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City | PLEASANTON
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State | CA
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Zip | 94588-5807
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Country | US
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Telephone | 925-460-0700
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Fax | 925-734-0517
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY NOLASCO MUSNI
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Credential | MD
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Telephone | 925-460-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A26164
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A26164
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License Number State | CA
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