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General NPI Number Information
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NPI Number | 1508913898
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Entity Type | Organization
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Legal Business Name | AMERICAN HEART CENTER PC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 1300 STATE ROUTE 35 BUILDING 2, SUITE 102
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City | OCEAN
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State | NJ
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Zip | 07712-3537
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Country | US
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Telephone | 732-663-1123
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Fax | 732-663-1179
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Provider Business Mailing Address
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Address Line | 1300 STATE ROUTE 35 BUILDING 2, SUITE 102
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City | OCEAN
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State | NJ
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Zip | 07712-3537
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Country | US
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Telephone | 732-663-1123
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Fax | 732-663-1179
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DAWN KALEMBA
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Credential |
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Telephone | 732-663-1123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA06183300
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License Number State | NJ
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