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General NPI Number Information
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NPI Number | 1124512710
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Entity Type | Organization
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Legal Business Name | HEART AND VASCULAR ASSOCIATES LLC
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 1940 E WILCOX ST SUITE 102
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City | SIERRA VISTA
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State | AZ
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Zip | 85635
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Country | US
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Telephone | 520-335-2400
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Fax | 877-669-0381
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Provider Business Mailing Address
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Address Line | PO BOX 29650
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City | PHOENIX
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State | AZ
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Zip | 85038-9650
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Country | US
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Telephone | 520-335-2400
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Fax | 877-669-0381
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Authorized Official
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Title or Position | PRESIDENT
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Name | VINAY BHUSHAN SANGHI
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Credential | MD
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Telephone | 520-335-2400
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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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