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General NPI Number Information
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NPI Number | 1134387228
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Entity Type | Organization
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Legal Business Name | HEART MATTERS PSC
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 789 EASTERN BY PASS STE 20, MOB 1
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City | RICHMOND
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State | KY
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Zip | 40475-2421
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Country | US
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Telephone | 859-625-5511
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Fax | 859-625-5513
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Provider Business Mailing Address
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Address Line | 789 EASTERN BY PASS STE 20, MOB 1
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City | RICHMOND
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State | KY
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Zip | 40475-2421
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Country | US
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Telephone | 859-625-5511
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Fax | 859-625-5513
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | REGINA ROWLAND
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Credential |
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Telephone | 859-625-5511
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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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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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