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General NPI Number Information
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NPI Number | 1427311307
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Entity Type | Organization
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Legal Business Name | HEART SURGERY ASSIST INC.
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Dates
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Enumeration Date | 06/16/2012
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Last Update Date | 06/16/2012
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Provider Practice Location Address
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Address Line | 250 SW 6TH PL
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City | POMPANO BEACH
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State | FL
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Zip | 33060-8393
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Country | US
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Telephone | 561-460-4978
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Fax |
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Provider Business Mailing Address
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Address Line | 250 SW 6TH PL APT 305
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City | POMPANO BEACH
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State | FL
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Zip | 33060-8393
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Country | US
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Telephone | 561-460-4978
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS KAREM CALCANO
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Credential | PA-C
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Telephone | 561-460-4978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9104412
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License Number State | FL
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