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General NPI Number Information
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NPI Number | 1427074012
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Entity Type | Organization
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Legal Business Name | HEARN VASCULAR SURGERY PA
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 1238 HUFFMAN MILL RD
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-585-1869
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Fax |
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Provider Business Mailing Address
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Address Line | 1238 HUFFMAN MILL RD
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-585-1869
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW T HEARN
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Credential | M.D.
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Telephone | 336-585-1869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State | NC
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