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General NPI Number Information
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NPI Number | 1598216418
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Entity Type | Organization
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Legal Business Name | PULSE HEART AND VASCULAR
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 30 FAWN RDG
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City | MILLWOOD
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State | NY
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Zip | 10546-1119
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Country | US
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Telephone | 203-927-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 30 FAWN RDG
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City | MILLWOOD
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State | NY
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Zip | 10546-1119
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Country | US
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Telephone | 203-927-7246
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALI MASUD
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Credential |
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Telephone | 203-927-7246
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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 | 261244
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License Number State | NY
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