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General NPI Number Information
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NPI Number | 1104985589
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Entity Type | Organization
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Legal Business Name | HEART PARTNERS LLC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 411 LAUREL ST SUITE 1250
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City | DES MOINES
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State | IA
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Zip | 50314-3017
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Country | US
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Telephone | 515-247-4485
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13
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City | DES MOINES
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State | IA
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Zip | 50301-0013
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Country | US
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Telephone | 515-247-4485
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Fax | 515-643-8835
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Authorized Official
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Title or Position | DIRECTOR OF BILLING
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Name | REBECCA LENZ
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Credential |
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Telephone | 515-643-8727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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