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General NPI Number Information
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NPI Number | 1477606424
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Entity Type | Organization
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Legal Business Name | HEMET EKG INTERPRETATION MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 1117 E DEVONSHIRE AVE CARDIOLOGY OFFICE
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City | HEMET
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State | CA
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Zip | 92543-3083
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Country | US
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Telephone | 951-652-2811
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Fax |
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Provider Business Mailing Address
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Address Line | 324 S STATE ST UNIT 1230
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City | HEMET
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State | CA
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Zip | 92546-7051
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Country | US
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Telephone | 951-658-8505
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | DR. MICHAEL J WELCH
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Credential | PH.D.
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Telephone | 951-658-8505
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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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