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NPI 1053264754

NPI 1053264754 : HEALTHONE HEART CARE LLC : CHEYENNE WELLS, CO

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General NPI Number Information
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    NPI Number           |    1053264754
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTHONE HEART CARE LLC 
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Dates
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    Enumeration Date     |    02/20/2026
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    Last Update Date     |    02/20/2026
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Provider Practice Location Address
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    Address Line         |    602 N 6TH ST W 
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    City                 |    CHEYENNE WELLS
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    State                |    CO
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    Zip                  |    80810-5125
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    Country              |    US
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    Telephone            |    719-767-5661
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2000 HEALTH PARK DR 
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-4692
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    Country              |    US
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    Telephone            |    615-373-7406
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     THOMAS  FENDER 
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    Credential           |    
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    Telephone            |    303-584-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RI0011X
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    Taxonomy Name        |    Interventional Cardiology Physician
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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        |    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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