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General NPI Number Information
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NPI Number | 1184503252
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Entity Type | Organization
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Legal Business Name | ELDORADO HEART CLINIC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 700 W GROVE ST
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City | EL DORADO
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State | AR
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Zip | 71730-4416
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Country | US
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Telephone | 347-425-6518
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CITY PT APT 25F
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City | BROOKLYN
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State | NY
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Zip | 11201-5395
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Country | US
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Telephone | 347-425-6518
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. AYOBAMI ELUWOLE
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Credential | MD
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Telephone | 347-425-6518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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