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General NPI Number Information
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NPI Number | 1518077890
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Entity Type | Organization
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Legal Business Name | JAVED CARDIAC CENTER, PLLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 2003 LEATHERWOOD LN
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City | BLUEFIELD
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State | VA
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Zip | 24605-2026
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Country | US
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Telephone | 276-322-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 2003 LEATHERWOOD LN
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City | BLUEFIELD
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State | VA
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Zip | 24605-2026
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Country | US
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Telephone | 276-322-0000
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Fax | 276-322-0003
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MOHAMMAD JAVED RANA
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Credential | M.D.
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Telephone | 276-322-0000
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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 | 0101055460
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License Number State | VA
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