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General NPI Number Information
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NPI Number | 1356624258
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Entity Type | Organization
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Legal Business Name | ARIZONA HEART CENTER, LLC
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 4338 W THOMAS RD SUITE 116
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City | PHOENIX
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State | AZ
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Zip | 85031-3878
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Country | US
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Telephone | 623-385-7925
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Fax | 877-903-8614
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Provider Business Mailing Address
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Address Line | 4338 W THOMAS RD SUITE 116
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City | PHOENIX
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State | AZ
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Zip | 85031-3878
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Country | US
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Telephone | 623-385-7925
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Fax | 877-903-8614
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Authorized Official
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Title or Position | OWNER
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Name | MAREK ZBIGNIEW PIATEK
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Credential | M.D.
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Telephone | 602-509-5169
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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 | 41175
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License Number State | AZ
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