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General NPI Number Information
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NPI Number | 1194021667
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Entity Type | Organization
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Legal Business Name | HEART SCIENCE INC
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 5440 N AIRWAY DR
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City | TUCSON
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State | AZ
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Zip | 85750-9627
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Country | US
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Telephone | 520-749-4042
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Fax | 520-395-1700
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Provider Business Mailing Address
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Address Line | 5440 N AIRWAY DR
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City | TUCSON
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State | AZ
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Zip | 85750-9627
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Country | US
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Telephone | 520-749-4042
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Fax | 520-395-1700
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINDA G RUSSEK
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Credential | PH.D.
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Telephone | 520-749-4042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | AZ
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