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General NPI Number Information
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NPI Number | 1093175390
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Entity Type | Organization
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Legal Business Name | CENTER FOR CARDIOVASCULAR HEALTH PLLC
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 221 W COLORADO BLVD STE. 729
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City | DALLAS
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State | TX
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Zip | 75208-2363
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Country | US
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Telephone | 972-587-3133
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Fax | 214-946-5168
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Provider Business Mailing Address
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Address Line | 221 W COLORADO BLVD STE. 729
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City | DALLAS
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State | TX
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Zip | 75208-2363
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Country | US
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Telephone | 972-587-3133
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAM AHN
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Credential | M.D.
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Telephone | 310-980-4080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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