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NPI 1992839799

NPI 1992839799 : PARAMOUNT CARDIOVASCULAR ASSOCIATES : DENTON, TX

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General NPI Number Information
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    NPI Number           |    1992839799
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARAMOUNT CARDIOVASCULAR ASSOCIATES 
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Dates
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    Enumeration Date     |    03/15/2007
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    Last Update Date     |    07/26/2011
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Provider Practice Location Address
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    Address Line         |    2601 SCRIPTURE ST STE 101 
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    City                 |    DENTON
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    State                |    TX
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    Zip                  |    76201-4322
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    Country              |    US
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    Telephone            |    940-591-6009
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    Fax                  |    940-591-9918
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Provider Business Mailing Address
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    Address Line         |    2601 SCRIPTURE ST STE 101 
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    City                 |    DENTON
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    State                |    TX
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    Zip                  |    76201-4322
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    Country              |    US
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    Telephone            |    940-591-6009
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    Fax                  |    940-591-9918
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SIMON  ALLO 
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    Credential           |    M.D.
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    Telephone            |    940-591-6009
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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       |    K4353
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    License Number State |    TX
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