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General NPI Number Information
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NPI Number | 1336704840
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Entity Type | Organization
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Legal Business Name | COLLIN COUNTY HEART CENTER PLLC
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 4100 W 15TH ST STE 110
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City | PLANO
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State | TX
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Zip | 75093-5826
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Country | US
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Telephone | 469-782-9860
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Fax | 469-461-3581
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Provider Business Mailing Address
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Address Line | 3400 COIT RD # 262609
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City | PLANO
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State | TX
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Zip | 75075-3771
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Country | US
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Telephone | 469-782-9860
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Fax | 469-461-3581
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | VENKATA CHILAKAPATI
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Credential | MD
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Telephone | 469-782-9860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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