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General NPI Number Information
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NPI Number | 1063694156
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Entity Type | Organization
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Legal Business Name | HEARTCARE SPECIALIST & HEALING CENTER
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 404 W MAIN ST SUITE D
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City | PAYSON
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State | AZ
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Zip | 85541-5377
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Country | US
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Telephone | 928-595-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 404 W MAIN ST SUITE D
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City | PAYSON
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State | AZ
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Zip | 85541-5377
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Country | US
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Telephone | 928-595-0522
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | GAIL TURNER
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Credential | MD
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Telephone | 928-595-0522
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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 | 23529
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License Number State | AZ
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