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General NPI Number Information
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NPI Number | 1376610584
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Entity Type | Organization
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Legal Business Name | MARTINSVILLE CARDIOVASCULAR CENTER, P.C
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 287 COMMONWEALTH BLVD W
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City | MARTINSVILLE
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State | VA
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Zip | 24112-1820
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Country | US
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Telephone | 276-634-5200
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Fax | 276-634-5201
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Provider Business Mailing Address
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Address Line | PO BOX 965
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City | MEDFORD
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State | NJ
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Zip | 08055-0965
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Country | US
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Telephone | 276-634-5200
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Fax | 276-634-5201
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DINESH K BHATT
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Credential | M.D.
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Telephone | 276-634-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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