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General NPI Number Information
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NPI Number | 1023168184
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Entity Type | Organization
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Legal Business Name | CARDIAC HEALTH SPECIALISTS PS
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1802 YAKIMA AVE SUITE 307
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City | TACOMA
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State | WA
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Zip | 98405-4499
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Country | US
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Telephone | 253-627-1244
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Fax | 253-627-6576
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Provider Business Mailing Address
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Address Line | PO BOX 3797
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City | SEATTLE
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State | WA
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Zip | 98124-3797
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Country | US
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Telephone | 253-627-1244
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Fax | 253-627-6576
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAED FAHMY
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Credential | MD
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Telephone | 253-927-1244
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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 |
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License Number State |
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