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General NPI Number Information
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NPI Number | 1538156765
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Entity Type | Organization
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Legal Business Name | HEART CONSULTANTS OF NORTH TEXAS
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9330 POPPY DR STE 405
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City | DALLAS
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State | TX
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Zip | 75218-4621
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Country | US
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Telephone | 214-320-9382
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Fax | 214-321-1137
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Provider Business Mailing Address
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Address Line | 9330 POPPY DR STE 405
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City | DALLAS
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State | TX
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Zip | 75218-4621
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Country | US
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Telephone | 214-320-9382
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Fax | 214-321-1137
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREGORY A REDISH
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Credential | MD
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Telephone | 214-320-9382
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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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