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General NPI Number Information
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NPI Number | 1164948360
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Entity Type | Organization
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Legal Business Name | HEART RHYTHM SPECIALISTS AT DAYTONA LLC
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 08/18/2017
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Provider Practice Location Address
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Address Line | 305 MEMORIAL MEDICAL PKWY STE 300
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-5170
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Country | US
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Telephone | 386-672-1023
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Fax | 386-263-2996
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Provider Business Mailing Address
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Address Line | 305 MEMORIAL MEDICAL PKWY STE 300
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-5170
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Country | US
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Telephone | 386-672-1023
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Fax | 386-263-2996
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Authorized Official
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Title or Position | CONSULTING MANAGER
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Name | MS. YVETTE S ANDERSON
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Credential |
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Telephone | 386-316-0955
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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