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General NPI Number Information
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NPI Number | 1275530651
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Entity Type | Organization
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Legal Business Name | HEART GROUP OF THE CAROLINAS
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 100 MEDICAL PARK DR SUITE 210
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City | CONCORD
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State | NC
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Zip | 28025-2948
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Country | US
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Telephone | 704-783-1010
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Fax | 704-856-6127
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Provider Business Mailing Address
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Address Line | 100 MEDICAL PARK DR SUITE 210
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City | CONCORD
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State | NC
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Zip | 28025-2948
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Country | US
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Telephone | 704-783-1010
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Fax | 704-856-6127
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK KEVIN ANONICK
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Credential | M.D.
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Telephone | 704-783-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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