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1205651510 NPI number — HEART AND VASCULAR CARE EAST, LLC

NPI Number: 1205651510
Health Care Provider/Practitioner: HEART AND VASCULAR CARE EAST, LLC

Information about “1205651510” NPI (HEART AND VASCULAR CARE EAST, LLC) exists in 1205651510 in HTML format HTML  |  1205651510 in plain Text format TXT  |  1205651510 in PDF (Portable Document Format) PDF  |  1205651510 in an XML format XML  formats.

NPI Number : 1205651510 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205651510",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "HEART AND VASCULAR CARE, LLC",
    "ParentOrgTIN": null,
    "OrgName": "HEART AND VASCULAR CARE EAST, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1720 WINDWARD CONCOURSE STE 390",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALPHARETTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30005-2293",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-513-2273",
    "MailingAddressFaxNumber": "678-513-8869",
    "FirstLinePracticeLocationAddress": "3970 DEPUTY BILL CANTRELL MEM STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CUMMING",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30040-3069",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-513-2273",
    "PracticeLocationAddressFaxNumber": "678-513-8869",
    "EnumerationDate": "11/21/2024",
    "LastUpdateDate": "12/31/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OLIVER",
    "AuthorizedOfficialFirstName": "LARAMI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "RCM DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "678-513-2273",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RC0000X",
        "TaxonomyName": "Cardiovascular Disease Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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