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General NPI Number Information
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NPI Number | 1366370173
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Entity Type | Organization
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Legal Business Name | HEART TRAC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 8306 OFFICE PARK DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-6935
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Country | US
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Telephone | 943-255-6184
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Fax | 943-255-6184
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Provider Business Mailing Address
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Address Line | 8306 OFFICE PARK DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-6935
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Country | US
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Telephone | 943-255-6184
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Fax | 943-255-6184
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Authorized Official
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Title or Position | OPERATING MANAGER
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Name | KARL ERIC BRYANT JR.
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Credential | NHA CERTIFIED EKG
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Telephone | 943-255-6184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number |
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License Number State |
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