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General NPI Number Information
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NPI Number | 1134175797
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Entity Type | Organization
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Legal Business Name | HEARTSCAN OF PASADENA, LP
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3315 BURKE RD SUITE 105
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City | PASADENA
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State | TX
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Zip | 77504-1827
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Country | US
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Telephone | 713-943-8668
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Fax | 713-943-8339
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Provider Business Mailing Address
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Address Line | 3315 BURKE RD SUITE 105
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City | PASADENA
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State | TX
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Zip | 77504-1827
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Country | US
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Telephone | 713-943-8668
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Fax | 713-943-8339
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. GREGG GARRARD
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Credential |
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Telephone | 713-943-8668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | N/A
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License Number State |
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