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General NPI Number Information
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NPI Number | 1174054555
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Entity Type | Organization
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Legal Business Name | ZYMEK CARDIOLOGY PLLC
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 4915 E BASELINE RD STE 123
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City | GILBERT
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State | AZ
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Zip | 85234-2969
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Country | US
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Telephone | 480-493-5152
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Fax | 480-632-1574
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Provider Business Mailing Address
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Address Line | 4915 E BASELINE RD STE 123
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City | GILBERT
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State | AZ
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Zip | 85234-2969
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Country | US
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Telephone | 480-493-5152
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Fax | 480-632-1574
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Authorized Official
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Title or Position | OWNER
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Name | PAWEL ZYMEK
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Credential |
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Telephone | 480-493-5152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 49346
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License Number State | AZ
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