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NPI 1326100074

NPI 1326100074 : HEART HEALTH CENTER PC : MUSCLE SHOALS, AL

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General NPI Number Information
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    NPI Number           |    1326100074
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEART HEALTH CENTER PC 
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Dates
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    Enumeration Date     |    12/15/2006
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    Last Update Date     |    09/10/2025
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Provider Practice Location Address
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    Address Line         |    203 AVALON AVE STE 230 
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    City                 |    MUSCLE SHOALS
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    State                |    AL
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    Zip                  |    35661-2855
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    Country              |    US
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    Telephone            |    256-766-8570
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    Fax                  |    256-766-5183
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Provider Business Mailing Address
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    Address Line         |    201 E DR HICKS BLVD 
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    City                 |    FLORENCE
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    State                |    AL
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    Zip                  |    35630-5767
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    Country              |    US
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    Telephone            |    256-766-8570
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    Fax                  |    256-766-5158
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     WILLIAM HAYNES HEATON 
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    Credential           |    MD
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    Telephone            |    256-766-8570
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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       |    
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    License Number State |    
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