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General NPI Number Information
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NPI Number | 1265132914
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Entity Type | Organization
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Legal Business Name | HEART RHYTHM DIAGNOSTICS LLC
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Dates
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Enumeration Date | 03/09/2023
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 235 REMINGTON BLVD STE G3
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City | BOLINGBROOK
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State | IL
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Zip | 60440-3686
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Country | US
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Telephone | 217-331-2656
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 713218
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City | CHICAGO
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State | IL
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Zip | 60677-1218
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Country | US
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Telephone | 217-331-2656
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | PATRICK BAILEY
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Credential |
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Telephone | 217-331-2656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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