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General NPI Number Information
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NPI Number | 1982104014
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Entity Type | Organization
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Legal Business Name | NONES DIA CARDIAC SYSTEMS INC.
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Dates
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Enumeration Date | 02/15/2018
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 430 MAIN ST W
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City | OAK HILL
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State | WV
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Zip | 25901-3414
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Country | US
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Telephone | 681-207-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 803 SEMINOLE CIR
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City | MOUNT HOPE
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State | WV
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Zip | 25880-8811
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Country | US
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Telephone | 606-224-1740
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Fax | 681-207-1811
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Authorized Official
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Title or Position | PRESIDENT
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Name | OLAWALE O OLATUNJI
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Credential | MD
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Telephone | 606-224-1740
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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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