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General NPI Number Information
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NPI Number | 1063401073
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Entity Type | Organization
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Legal Business Name | THE HEART AND VASCULAR CLINIC
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2400 PATTERSON ST SUITE 215
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City | NASHVILLE
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State | TN
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Zip | 37203-1562
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Country | US
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Telephone | 615-342-5899
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Fax | 615-343-5757
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Provider Business Mailing Address
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Address Line | 2400 PATTERSON ST SUITE 215
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City | NASHVILLE
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State | TN
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Zip | 37203-1562
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Country | US
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Telephone | 615-342-5899
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Fax | 615-343-5757
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. PATRICK BIRMINGHAM
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Credential |
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Telephone | 615-373-7625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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