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General NPI Number Information
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NPI Number | 1417318718
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Entity Type | Organization
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Legal Business Name | ANGEL'Z HEART IMAGING CENTER LLC
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 1811 NE 123RD ST
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2805
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Country | US
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Telephone | 786-565-8198
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 NE 123RD ST
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2805
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Country | US
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Telephone | 786-565-8198
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Fax |
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Authorized Official
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Title or Position | CEO AND PRESIDENT
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Name | SHIRLEY PUBIEN
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Credential |
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Telephone | 786-565-8198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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