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General NPI Number Information
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NPI Number | 1992738314
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Entity Type | Organization
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Legal Business Name | CENTRAL PENNSYLVANIA CARDIOLOGY ASSOCIATES LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 131 JPM RD
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City | LEWISBURG
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State | PA
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Zip | 17837-9309
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Country | US
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Telephone | 570-524-4211
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Fax | 570-524-4255
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Provider Business Mailing Address
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Address Line | 131 JPM RD
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City | LEWISBURG
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State | PA
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Zip | 17837-9309
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Country | US
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Telephone | 570-524-4211
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Fax | 570-524-4255
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Authorized Official
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Title or Position | PRESIDENT PARTNER
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Name | DR. CHARLES E HEID
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Credential | MD
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Telephone | 570-524-4211
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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 | MD027347E
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License Number State | PA
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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 | MD011806E
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License Number State | PA
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