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General NPI Number Information
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NPI Number | 1386159606
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Entity Type | Organization
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Legal Business Name | PHOENIX AREA CARDIOLOGY AND ELECTROPHYSIOLOGY LLC
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 12/08/2017
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Provider Practice Location Address
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Address Line | 1331 N 7TH ST STE 400
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City | PHOENIX
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State | AZ
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Zip | 85006-2779
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Country | US
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Telephone | 215-756-2721
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Fax |
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Provider Business Mailing Address
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Address Line | 4930 E ALTADENA AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4627
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Country | US
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Telephone | 215-756-2721
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/FOUNDER
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Name | SIAMAK RASSADI
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Credential | M.D.
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Telephone | 215-756-2721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 46507
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License Number State | AZ
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