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General NPI Number Information
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NPI Number | 1396758710
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Entity Type | Organization
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Legal Business Name | HEART CARE ASSOCIATES PSC
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 44 MCCOY AVENUE, BOX # 9
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City | MADISONVILLE
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State | KY
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Zip | 42431-2871
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Country | US
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Telephone | 270-821-0677
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Fax | 270-821-2539
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Provider Business Mailing Address
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Address Line | 44 MCCOY AVENUE, BOX # 9
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City | MADISONVILLE
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State | KY
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Zip | 42431-2871
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Country | US
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Telephone | 270-821-0677
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Fax | 270-821-2539
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. BHASKARAN N SREEKUMAR
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Credential | M.D.
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Telephone | 270-821-0677
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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 | 33663
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License Number State | KY
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