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General NPI Number Information
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NPI Number | 1225208168
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Entity Type | Organization
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Legal Business Name | SOUTHERN CALIFORNIA HEART SPECIALISTS
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 301 W HUNTINGTON DR SUITE 500
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City | ARCADIA
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State | CA
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Zip | 91007-3462
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Country | US
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Telephone | 626-294-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 55 E CALIFORNIA BLVD THIRD FLOOR
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City | PASADENA
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State | CA
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Zip | 91105-3954
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Country | US
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Telephone | 626-793-1227
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Fax |
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Authorized Official
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Title or Position | BUSINESS OFFICE MAMAGER
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Name | MRS. TRACY D BIGGLES
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Credential |
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Telephone | 626-793-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | FPN23413
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License Number State | CA
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