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General NPI Number Information
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NPI Number | 1992689335
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Entity Type | Organization
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Legal Business Name | THE CARDIOVASCULAR GROUP PC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 19450 DEERFIELD AVE STE 110
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City | LEESBURG
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State | VA
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Zip | 20176-6820
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Country | US
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Telephone | 703-225-4800
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Fax | 703-650-9364
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Provider Business Mailing Address
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Address Line | 2901 TELESTAR CT STE 300
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1263
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Country | US
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Telephone | 703-591-1688
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Fax | 703-591-1445
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | SUZANNE Y. WILLIAMSON
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Credential |
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Telephone | 703-621-2268
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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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