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General NPI Number Information
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NPI Number | 1144270984
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Entity Type | Organization
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Legal Business Name | THE HEART GROUP, PC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 415 W COLUMBIA ST
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City | EVANSVILLE
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State | IN
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Zip | 47710-1656
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Country | US
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Telephone | 812-464-0521
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Fax | 812-464-0565
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Provider Business Mailing Address
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Address Line | 1413 N ELM ST
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City | HENDERSON
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State | KY
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Zip | 42420-2768
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Country | US
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Telephone | 270-826-6277
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Fax | 270-827-8735
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD WEPSIC
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Credential | M.D.
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Telephone | 812-464-0521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 730027
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License Number State | KY
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