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General NPI Number Information
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NPI Number | 1528724143
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Entity Type | Organization
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Legal Business Name | HORIZON NUCLEAR CARDIOLOGY INC
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 7353 NW 4TH ST STE B
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City | PLANTATION
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State | FL
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Zip | 33317-2202
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Country | US
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Telephone | 754-547-2131
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Fax | 954-641-1506
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Provider Business Mailing Address
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Address Line | 3850 COCONUT CREEK PKWY STE 3
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City | COCONUT CREEK
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State | FL
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Zip | 33066-1600
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Country | US
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Telephone | 954-973-9222
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | JONATHAN BASTO
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Credential |
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Telephone | 754-547-2131
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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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