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General NPI Number Information
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NPI Number | 1548301252
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Entity Type | Organization
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Legal Business Name | ACRES HOME HEART AND VASCULAR INSTITUTE
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 9999 W MONTGOMERY RD SUITE B
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City | HOUSTON
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State | TX
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Zip | 77088-3100
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Country | US
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Telephone | 281-445-5900
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Fax | 281-445-5903
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Provider Business Mailing Address
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Address Line | PO BOX 302
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City | HOUSTON
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State | TX
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Zip | 77001-0302
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Country | US
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Telephone | 281-445-5900
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Fax | 281-445-5903
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | STACEY D RUGGLES
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Credential | CMA
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Telephone | 281-445-5900
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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 | M0502
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License Number State | TX
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