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General NPI Number Information
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NPI Number | 1447265327
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Entity Type | Organization
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Legal Business Name | SCOTTSDALE HEART GROUP
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 9755 N 90TH ST A100
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5046
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Country | US
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Telephone | 480-860-1919
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Fax | 480-860-5620
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Provider Business Mailing Address
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Address Line | 9755 N 90TH ST A100
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5046
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Country | US
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Telephone | 480-860-1919
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Fax | 480-860-5620
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. DAVID G. RIZIK
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Credential | M.D.
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Telephone | 480-860-1919
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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 | 0858511
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License Number State | AZ
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