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General NPI Number Information
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NPI Number | 1306890421
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Entity Type | Organization
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Legal Business Name | THE HEART CENTER OF PHILADELPHIA, P.C.
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 2422 S BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145-4418
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Country | US
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Telephone | 215-389-0600
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Fax | 215-389-0604
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Provider Business Mailing Address
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Address Line | 2422 S BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145-4418
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Country | US
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Telephone | 215-389-0600
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Fax | 215-389-0604
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN J NIERENBERG
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Credential | M.D.
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Telephone | 215-389-0607
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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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