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General NPI Number Information
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NPI Number | 1396905600
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Entity Type | Organization
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Legal Business Name | HEART PHYSICIANS INTERVENTIONAL GROUP
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 10/20/2008
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Provider Practice Location Address
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Address Line | 161 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-3729
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Country | US
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Telephone | 203-348-7410
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Fax | 203-961-8488
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Provider Business Mailing Address
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Address Line | 161 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-3729
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Country | US
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Telephone | 203-348-7410
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Fax | 203-961-8488
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD LANDESMAN
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Credential | MD
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Telephone | 203-348-7410
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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 | 102630
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License Number State | CT
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