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General NPI Number Information
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NPI Number | 1558852764
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Entity Type | Organization
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Legal Business Name | TEXAS CENTER FOR PREVENTIVE CARDIOLOGY PLLC
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 4314 MEDICAL PKWY STE 201
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City | AUSTIN
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State | TX
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Zip | 78756-3332
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Country | US
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Telephone | 512-514-1321
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Fax |
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Provider Business Mailing Address
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Address Line | 4314 MEDICAL PKWY STE 201
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City | AUSTIN
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State | TX
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Zip | 78756-3332
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Country | US
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Telephone | 512-514-1321
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MOJGAN ARASHVAND
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Credential | DO
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Telephone | 512-514-1321
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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 | P1618
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License Number State | TX
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