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General NPI Number Information
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NPI Number | 1023264280
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Entity Type | Individual
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Provider Name | SHRINIVAS M HEBSUR MD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 6700 UNIVERSITY BLVD FL 5
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City | DUBLIN
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State | OH
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Zip | 43016-3508
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Country | US
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Telephone | 614-293-7677
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Fax | 614-293-5614
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-7677
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Fax | 614-293-1456
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 4301110559
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 35.151457
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License Number State | OH
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