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General NPI Number Information
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NPI Number | 1275590192
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Entity Type | Organization
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Legal Business Name | HEART STUDY CENTER INC
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 755 W STATE ROAD 434 SUITE A
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City | LONGWOOD
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State | FL
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Zip | 32750-5156
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Country | US
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Telephone | 407-834-1151
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Fax | 407-834-2232
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Provider Business Mailing Address
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Address Line | 755 W STATE ROAD 434 SUITE A
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City | LONGWOOD
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State | FL
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Zip | 32750-5156
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Country | US
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Telephone | 407-834-1151
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Fax | 407-834-2232
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. BLANCA M RODRIGUEZ
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Credential |
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Telephone | 407-834-1151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number | P97000031620
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number | P97000031620
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | P97000031620
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License Number State | FL
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