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General NPI Number Information
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NPI Number | 1215187497
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Entity Type | Organization
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Legal Business Name | ALABAMA HEART CARE LLC
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 4810 HARKEY LANE
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City | TUSCALOOSA
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State | AL
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Zip | 35406
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Country | US
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Telephone | 205-344-6344
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Fax | 205-344-6464
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Provider Business Mailing Address
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Address Line | 3909 GAINESWOOD LN
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City | TUSCALOOSA
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State | AL
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Zip | 35406-3568
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Country | US
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Telephone | 205-242-3013
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANAND PANDEY
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Credential | M.D.
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Telephone | 205-242-3013
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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 | 20271
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License Number State | AL
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