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General NPI Number Information
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NPI Number | 1144798596
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Entity Type | Organization
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Legal Business Name | HEART SMART INC.
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Dates
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Enumeration Date | 11/04/2018
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Last Update Date | 11/04/2018
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Provider Practice Location Address
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Address Line | 1160 E JERICHO TPKE STE 204
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City | HUNTINGTON
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State | NY
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Zip | 11743-5405
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Country | US
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Telephone | 631-676-3749
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Fax | 631-676-3778
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Provider Business Mailing Address
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Address Line | 1160 E JERICHO TPKE STE 204
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City | HUNTINGTON
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State | NY
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Zip | 11743-5405
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Country | US
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Telephone | 631-676-3749
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Fax | 631-676-3778
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Authorized Official
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Title or Position | ECO
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Name | MR. STEPHEN M SELTZER
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Credential |
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Telephone | 631-676-3749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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