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General NPI Number Information
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NPI Number | 1104708403
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Entity Type | Organization
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Legal Business Name | SAN LUIS OBISPO HEART INC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1370 CHORRO ST
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4006
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Country | US
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Telephone | 805-329-6762
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Fax | 855-538-3137
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Provider Business Mailing Address
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Address Line | 1370 CHORRO ST
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4006
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Country | US
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Telephone | 805-329-6762
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Fax | 855-538-3137
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Authorized Official
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Title or Position | OWNER
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Name | ARMIN J BANDARI
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Credential | MD
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Telephone | 805-329-6762
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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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