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General NPI Number Information
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NPI Number | 1992496269
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Entity Type | Organization
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Legal Business Name | CARDA HEALTH OF KS, P.A.
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 101 EISENHOWER PKWY STE 300
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City | ROSELAND
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State | NJ
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Zip | 07068-1054
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Country | US
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Telephone | 866-932-5104
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Fax |
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Provider Business Mailing Address
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Address Line | 8 THE GRN STE 11670
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City | DOVER
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State | DE
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Zip | 19901-3618
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | CONNOR WALSH
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Credential |
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Telephone | 866-932-5104
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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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