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General NPI Number Information
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NPI Number | 1124714514
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CLINIC OF ARIZONA PLLC
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 2157 E BASELINE RD STE 101
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City | TEMPE
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State | AZ
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Zip | 85283-1544
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Country | US
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Telephone | 480-992-4344
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Fax | 480-422-9154
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Provider Business Mailing Address
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Address Line | 2157 E BASELINE RD STE 101
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City | TEMPE
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State | AZ
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Zip | 85283-1544
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Country | US
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Telephone | 480-992-4344
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Fax | 480-422-9154
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Authorized Official
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Title or Position | CEO
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Name | THASLIM KASSIM
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Credential | MD
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Telephone | 240-603-2177
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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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