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General NPI Number Information
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NPI Number | 1215303763
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Entity Type | Organization
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Legal Business Name | LONESTAR HEART AND VASCULAR ASSOCIATES
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 4516 OVERTON DR
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City | PLANO
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State | TX
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Zip | 75074-0136
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Country | US
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Telephone | 847-227-0293
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Fax |
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Provider Business Mailing Address
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Address Line | 4516 OVERTON DR
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City | PLANO
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State | TX
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Zip | 75074-0136
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Country | US
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Telephone | 847-227-0293
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MUHAMMAD CHAUDHRY
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Credential | MD
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Telephone | 847-227-0293
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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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