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General NPI Number Information
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NPI Number | 1013075415
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Entity Type | Organization
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Legal Business Name | SILVER HEART CARDIOLOGY MD PA
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3023 PERRYTON PKWY STE 205
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City | PAMPA
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State | TX
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Zip | 79065-2821
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Country | US
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Telephone | 806-669-3003
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Fax | 806-274-2531
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Provider Business Mailing Address
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Address Line | 3023 PERRYTON PKWY STE 205
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City | PAMPA
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State | TX
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Zip | 79065-2821
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Country | US
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Telephone | 806-669-3003
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Fax | 806-669-3450
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | COLLEEN M SIFUENTES
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Credential |
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Telephone | 806-584-1672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | L7184
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License Number State | TX
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