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General NPI Number Information
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NPI Number | 1316062128
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Entity Type | Organization
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Legal Business Name | DESERT HEART PHYSICIANS MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 02/15/2010
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Provider Practice Location Address
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Address Line | 41990 COOK ST BLDG. G, SUITE 601
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City | PALM DESERT
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State | CA
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Zip | 92211-6100
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Country | US
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Telephone | 760-360-4446
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Fax | 760-360-4436
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Provider Business Mailing Address
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Address Line | 1180 N INDIAN CANYON DR SUITE E319
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4800
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Country | US
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Telephone | 760-325-1203
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Fax | 760-325-5485
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NARASIMHA P RAO
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Credential | M.D.
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Telephone | 760-325-1203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C40464
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License Number State | CA
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