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General NPI Number Information
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NPI Number | 1023812245
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Entity Type | Organization
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Legal Business Name | HEARTMASTERS MEDICAL ASSOCIATES PC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 1810 BENNING RD NE
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City | WASHINGTON
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State | DC
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Zip | 20002-7253
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Country | US
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Telephone | 202-669-5821
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3786
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City | CROFTON
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State | MD
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Zip | 21114-3786
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Country | US
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Telephone | 202-669-5821
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Fax | 301-877-6963
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Authorized Official
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Title or Position | CARDIOLOGIST /PRESIDENT
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Name | IEON LLOYD DAWSON
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Credential | MD
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Telephone | 202-669-5821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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