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General NPI Number Information
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NPI Number | 1124434618
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Entity Type | Organization
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Legal Business Name | HEALTHY HEART CARDIOLOGY, P.C.
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 05/02/2018
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Provider Practice Location Address
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Address Line | 1000 NORTHERN BLVD STE 360
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City | GREAT NECK
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State | NY
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Zip | 11021-5312
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Country | US
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Telephone | 516-829-6660
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Fax | 516-829-9641
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Provider Business Mailing Address
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Address Line | 833 NORTHERN BLVD SUITE 120
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City | GREAT NECK
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State | NY
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Zip | 11021-5315
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Country | US
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Telephone | 516-829-6660
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Fax | 516-829-9641
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHERINE S WRIGHT
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Credential |
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Telephone | 516-829-6660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 144077-1
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License Number State | NY
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