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General NPI Number Information
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NPI Number | 1316968472
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Entity Type | Organization
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Legal Business Name | SUNCOAST HEART CLINIC P A
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/12/2011
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Provider Practice Location Address
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Address Line | 5537 GULF DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4021
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Country | US
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Telephone | 727-849-2600
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Fax | 727-847-7703
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Provider Business Mailing Address
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Address Line | 5537 GULF DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4021
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Country | US
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Telephone | 727-849-2600
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Fax | 727-847-7703
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. AKSHAY DHIRUBHAI DESAI
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Credential | M.D.
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Telephone | 727-849-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME103805
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME42408
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME95837
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME42408
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License Number State | FL
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