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General NPI Number Information
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NPI Number | 1245444967
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Entity Type | Organization
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Legal Business Name | MEDICINE FROM THE HEART, PC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 2000 KINGS HWY SUITE 1-E
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City | BROOKLYN
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State | NY
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Zip | 11229-1445
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Country | US
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Telephone | 718-336-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 139B FENIMORE RD
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City | MAMARONECK
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State | NY
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Zip | 10543-3502
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Country | US
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Telephone | 917-701-5514
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Fax |
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Authorized Official
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Title or Position | OWNER, MEDICAL DIRECTOR
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Name | DR. GARY SPEKTOR
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Credential | M.D.
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Telephone | 917-701-5514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 228513
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License Number State | NY
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