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General NPI Number Information
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NPI Number | 1043264401
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Entity Type | Organization
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Legal Business Name | THE HEART CENTER, PC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 117 ROUTE 35
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City | EATONTOWN
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State | NJ
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Zip | 07724-3478
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Country | US
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Telephone | 732-389-0266
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Fax | 732-389-2294
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Provider Business Mailing Address
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Address Line | 1001 US HIGHWAY 9
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City | HOWELL
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State | NJ
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Zip | 07731-3301
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Country | US
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Telephone | 732-389-0266
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Fax | 732-389-2294
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Authorized Official
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Title or Position | OWNER
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Name | JOHN S. CLEMENTE
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Credential | M.D.
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Telephone | 732-389-0266
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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 | 25MA05258900
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License Number State | NJ
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