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General NPI Number Information
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NPI Number | 1477845659
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Entity Type | Organization
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Legal Business Name | HEART ASSOCIATE OF HILTON HEAD PC
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 40 OKATIE BOULEVARD SUITE 100-1
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City | OKATIE
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State | SC
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Zip | 29909
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Country | US
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Telephone | 843-682-4673
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Fax | 877-599-0017
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Provider Business Mailing Address
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Address Line | 40 OKATIE BOULEVARD SUITE 100-1
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City | OKATIE
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State | SC
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Zip | 29909
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Country | US
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Telephone | 843-682-4673
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Fax | 877-599-0017
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. RAVINA BALCHANDANI
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Credential | MD
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Telephone | 631-255-3617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 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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Taxonomy #3
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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