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General NPI Number Information
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NPI Number | 1205651510
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Entity Type | Organization
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Legal Business Name | HEART AND VASCULAR CARE EAST, LLC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 3970 DEPUTY BILL CANTRELL MEM STE 100
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City | CUMMING
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State | GA
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Zip | 30040-3069
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Country | US
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Telephone | 678-513-2273
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Fax | 678-513-8869
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Provider Business Mailing Address
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Address Line | 1720 WINDWARD CONCOURSE STE 390
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City | ALPHARETTA
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State | GA
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Zip | 30005-2293
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Country | US
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Telephone | 678-513-2273
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Fax | 678-513-8869
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Authorized Official
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Title or Position | RCM DIRECTOR
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Name | LARAMI OLIVER
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Credential |
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Telephone | 678-513-2273
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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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