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General NPI Number Information
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NPI Number | 1386063303
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Entity Type | Organization
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Legal Business Name | MASTER CARDIOLOGY PA
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 23920 KATY FWY STE 240
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City | KATY
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State | TX
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Zip | 77494-1341
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Country | US
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Telephone | 281-347-7300
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Fax | 760-651-4358
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Provider Business Mailing Address
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Address Line | PO BOX 19039
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City | SUGAR LAND
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State | TX
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Zip | 77479-9039
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Country | US
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Telephone | 281-347-7300
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Fax | 760-651-4358
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Authorized Official
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Title or Position | OWNER
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Name | SYED J RAZA
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Credential | MD
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Telephone | 281-347-7300
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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 |
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License Number State |
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