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General NPI Number Information
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NPI Number | 1497779011
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC HEART CENTER, INC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 624 W DUARTE RD SUITE 207
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City | ARCADIA
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State | CA
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Zip | 91007-7603
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Country | US
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Telephone | 626-446-5800
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Fax | 626-446-0214
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Provider Business Mailing Address
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Address Line | 624 W DUARTE RD SUITE 207
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City | ARCADIA
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State | CA
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Zip | 91007-7603
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Country | US
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Telephone | 626-446-5800
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Fax | 626-446-0214
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIR BASHARAT ALI
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Credential | M.D.
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Telephone | 626-446-5800
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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 | A43033
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License Number State | CA
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