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General NPI Number Information
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NPI Number | 1437114642
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Entity Type | Organization
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Legal Business Name | THE HEART INSTITUTE OF VENICE PLLC
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 1370 EAST VENICE AVE SUITE 102
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City | VENICE
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State | FL
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Zip | 34285-9082
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Country | US
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Telephone | 941-412-0026
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Fax | 941-412-0027
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Provider Business Mailing Address
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Address Line | 1370 EAST VENICE AVE SUITE 102
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City | VENICE
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State | FL
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Zip | 34285-9082
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Country | US
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Telephone | 941-412-0026
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Fax | 941-412-0027
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | ALLISON KHAN
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Credential |
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Telephone | 850-867-9831
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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