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General NPI Number Information
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NPI Number | 1154304657
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Entity Type | Organization
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Legal Business Name | CAPE HEART GROUP INC
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 255 BORMAN DR SUITE 202
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-3486
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Country | US
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Telephone | 321-454-4461
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Fax | 321-454-4977
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Provider Business Mailing Address
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Address Line | 255 BORMAN DR SUITE 202
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-3486
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Country | US
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Telephone | 321-454-4461
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Fax | 321-454-4977
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VICTOR TEOFILO PEREZ
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Credential | MD
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Telephone | 321-454-4461
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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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