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General NPI Number Information
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NPI Number | 1073090767
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Entity Type | Organization
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Legal Business Name | HEARTLINE MEDICAL, INC.
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 6000 SHAKERAG HL STE 100
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-6523
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Country | US
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Telephone | 770-391-3000
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Fax | 770-742-0356
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Provider Business Mailing Address
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Address Line | PO BOX 2096
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-0096
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Country | US
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Telephone | 770-703-1085
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Fax | 770-731-1444
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. HAZEL SEAY
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Credential |
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Telephone | 770-703-1085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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