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General NPI Number Information
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NPI Number | 1992792816
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Entity Type | Organization
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Legal Business Name | HEART CARE CARDIOLOGY CONSULTANTS, INC.
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 4100 JOHNSON RD SUITE 207
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2356
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Country | US
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Telephone | 740-266-9169
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Fax | 740-266-6933
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Provider Business Mailing Address
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Address Line | PO BOX 3111
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City | WEIRTON
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State | WV
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Zip | 26062-7111
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Country | US
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Telephone | 740-266-9169
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Fax | 740-266-6933
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAFAEL L. SCHMULEVICH
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Credential | MD
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Telephone | 740-266-9169
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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 | 14695
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License Number State | WV
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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 | MD040586E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35062485S
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License Number State | OH
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