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General NPI Number Information
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NPI Number | 1376900464
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Entity Type | Organization
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Legal Business Name | NAPLES INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 625 TAMIAMI TRL N STE 103
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City | NAPLES
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State | FL
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Zip | 34102-8143
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Country | US
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Telephone | 239-643-9977
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Fax | 239-643-3424
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Provider Business Mailing Address
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Address Line | 625 TAMIAMI TRL N STE 103
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City | NAPLES
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State | FL
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Zip | 34102-8143
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Country | US
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Telephone | 239-643-9977
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Fax | 239-643-3424
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SINAN GURSOY
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Credential | M.D.
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Telephone | 239-643-9977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9105298
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License Number State | FL
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