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General NPI Number Information
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NPI Number | 1073551636
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Entity Type | Organization
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Legal Business Name | TEXAS HEART CARE
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 9 MEDICAL PKWY PLAZA 4, SUITE 207
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City | DALLAS
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State | TX
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Zip | 75234-7858
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Country | US
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Telephone | 972-488-9656
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Fax | 972-488-9636
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Provider Business Mailing Address
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Address Line | 9 MEDICAL PKWY PLAZA 4, SUITE 207
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City | DALLAS
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State | TX
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Zip | 75234-7858
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Country | US
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Telephone | 972-488-9656
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Fax | 972-488-9636
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHERYL LAINE
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Credential |
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Telephone | 972-488-9656
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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 |
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License Number State |
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